Laparoscopic hand-assisted Miami Pouch after pelvic exenteration in 10 steps.

Abstract:

BACKGROUND:Improvements in surgical technique of pelvic exenteration have mainly occurred in the reconstructive phase of the procedure. Quality of life seems to be improved when performing continent rather than non-continent urinary diversion [1]. Unfortunately, Miami continent urinary pouch is a surgical technique not frequently used among surgeons. METHODS:This video illustrates the creation of a laparoscopic hand-assisted Miami Pouch in 10 consecutive steps. We present the case of a patient with an isolated central pelvic recurrence of cervical cancer who underwent a laparoscopic anterior pelvic exenteration, which is not included in the film. The surgery was performed by an experienced oncological surgeon in a French comprehensive cancer center. RESULTS:We split the surgical technique in the 10 following steps: CONCLUSIONS: Miami Pouch is a urinary reconstructive procedure that can improve quality of life after pelvic exenteration. As it has been previously reported, this film illustrates the feasibility of laparoscopic hand-assisted Miami Pouch after laparoscopic anterior pelvic exenteration [2,3]. A step-by-step comprehensive standardization of surgical techniques shortens learning curve of training surgeons [4].

journal_name

Gynecol Oncol

journal_title

Gynecologic oncology

authors

Angeles MA,Martínez-Gómez C,Martinez A,Ferron G

doi

10.1016/j.ygyno.2018.06.010

subject

Has Abstract

pub_date

2018-08-01 00:00:00

pages

389-390

issue

2

eissn

0090-8258

issn

1095-6859

pii

S0090-8258(18)30986-7

journal_volume

150

pub_type

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