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LAPOROSCOPIC PELVIC EXENTERATION FOR TREATMENT OF PRIMARY MULTIPLE CANCER. CASE REPORT

https://doi.org/10.38181//2223-2427-2021-3-31-39

Abstract

This clinical case represents the experience of surgical treatment of a patient with multiple primary metachronous cancer: 1. Sigmoid cancer рТ4NxM0. Resection of sigmoid colon (16.12.2013). Three courses of adjuvant chemotherapy (XELOX). Recurrence (2015). Laparotomy, Colproctectomy with D3 paraaortic lymph dissection. Ileostomy (2015). One course of chemotherapy (XELOX). 2. Upper tract urothelial carcinoma (right ureter) pT2N0M0R0. Right nephroureterectomy with the resection of the bladder and right testicular cord, cystostomy (19.02.2015). Recurrence. Nephrostomy drainage of the left kidney. Adhesive disease. Rectovesical fistula. Taking into account the history and comorbid status of the patient, it was decided to perform laparoscopic supralevator pelvic exenteration, ureterectomy on the left. The duration of the operation was 280 minutes, intraoperative blood loss was 200 ml. The period of stay in intensive care is 24 hours, the patient was discharged on the 7th day after the operation, the resection margin was negative (R0). After 12 months, there is no data for the disease progressed.

About the Authors

E. A. Gallyamov
Sechenov University; Federal Scientific and Clinical Center for Specialized Methods of Medical Aid and Medical Technologies FMBA; Federal State Budget Educational Institution of Higher Education M.V. Lomonosov Moscow State University (Lomonosov MSU)
Russian Federation

Eduard A. Gallyamov – Dr. Sci., Professor, Head of the General Surgery Department

119146, Moscow, Bolshaya Pirogovskaya, 19, corp 1

15682, Moscow, Orekhovy Boulevard, 28

Leninskie Gory St., 1, 119991, Moscow


A. E. Sanzharov
Federal Scientific and Clinical Center for Specialized Methods of Medical Aid and Medical Technologies FMBA
Russian Federation

Andrey E. Sanzharov – head of the urological department

15682, Moscow, Orekhovy Boulevard, 28


M. A. Agapov
Federal State Budget Educational Institution of Higher Education M.V. Lomonosov Moscow State University (Lomonosov MSU)
Russian Federation

Mikhail A. Agapov – Dr. Sci., Professor of the Department of Surgery

Leninskie Gory St., 1, 119991, Moscow


K. A. Prokhorenko
Federal Scientific and Clinical Center for Specialized Methods of Medical Aid and Medical Technologies FMBA
Russian Federation

Konstantin A. Prokhorenko – urologist

15682, Moscow, Orekhovy Boulevard, 28


G. Yu. Gololobov
Sechenov University; City Clinical Hospital named S.I. Spasokykockiy DHM
Russian Federation

Grigorii Yu. Gololobov – surgeon; PhD student

119146, Moscow, Bolshaya Pirogovskaya, 19, corp 1

127206, Vycheticha str., 21


D. N. Doronchyk
Federal Scientific and Clinical Center for Specialized Methods of Medical Aid and Medical Technologies FMBA
Russian Federation

Dmitriy N. Doronchyk – urologist

15682, Moscow, Orekhovy Boulevard, 28


V. G. Daynego
Federal Scientific and Clinical Center for Specialized Methods of Medical Aid and Medical Technologies FMBA
Russian Federation

Vitaliy G. Daynego – urologist

15682, Moscow, Orekhovy Boulevard, 28


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Review

For citations:

Gallyamov E.A., Sanzharov A.E., Agapov M.A., Prokhorenko K.A., Gololobov G.Yu., Doronchyk D.N., Daynego V.G. LAPOROSCOPIC PELVIC EXENTERATION FOR TREATMENT OF PRIMARY MULTIPLE CANCER. CASE REPORT. Surgical practice (Russia). 2021;(3):31-39. (In Russ.) https://doi.org/10.38181//2223-2427-2021-3-31-39

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