Laparoscopic enterolysis and placement of an intestinal sling before radiation therapy for the treatment of prostate cancer.
We present an interesting application of laparoscopy in a man who was otherwise not a candidate for radiotherapy because of an adherent loop of small bowel in the proposed treatment field. Laparoscopic enterolysis was performed and the involved segment was displaced out of the pelvis; a synthetic mesh was placed to serve as a sling to prevent caudal migration back into the pelvis. The patient had a rapid recovery and subsequently completed a full course of radiotherapy. The experienced laparoscopist may find this a good alternative to open surgery in patients with a fixed loop of small bowel who require radiation therapy for pelvic malignancies.
Jarrett
T W
TW
Department of Urology, Long Island Jewish Medical Center, New Hyde Park, New York.
Pardalidis
N P
NP
Silverstein
M
M
Sweetser
P M
PM
Smith
A D
AD
D000230:Adenocarcinoma / Q000150:complications / Q000532:radiotherapy*; D000368:Aged; D006801:Humans; D007410:Intestinal Diseases / Q000150:complications / Q000601:surgery*; D007421:Intestine, Small; D010535:Laparoscopy; D008297:Male; D011471:Prostatic Neoplasms / Q000150:complications / Q000532:radiotherapy*; D013526:Surgical Mesh; D000267:Tissue Adhesions / Q000150:complications / Q000601:surgery