title: Laparoscopic total pelvic exenteration for cervical cancer relapse.
abstract: BACKGROUND
  Laparoscopy classically reduces morbidity and invasiveness. To decrease the operative morbidity associated with exenteration, we considered the possibility of performing a total pelvic exenteration by the laparoscopic approach.
  
  
  METHODS
  A 34-year-old woman presented with a cervical cancer relapse. The bladder, uterus, vagina, ovaries, and rectum were mobilized en bloc from the pelvic sidewall. We used vascular endoscopic staplers for the control of sigmoid vessels and anterior branches of internal iliac vessels. The specimen was removed through the vulva. A colo-anal anastomosis and an ileal-loop conduit for urinary tract diversion were made. The operative time was 9 h. The postoperative course was uneventful. Specimen margins were free of disease.
  
  
  CONCLUSIONS
  With laparoscopic surgical knowledge and new endoscopic staplers, laparoscopic pelvic exenteration procedure is feasible.
authors.affiliation: Department of Surgical Oncology, Gustave Roussy Institute Comprehensive Cancer Centre, 39, Rue Camille Desmoulins, 94805, Villejuif, France. pomel@igr.fr
authors.forename: C
authors.initials: C
authors.lastname: Pomel
authors.forename: R
authors.initials: R
authors.lastname: Rouzier
authors.forename: M
authors.initials: M
authors.lastname: Pocard
authors.forename: A
authors.initials: A
authors.lastname: Thoury
authors.forename: L
authors.initials: L
authors.lastname: Sideris
authors.forename: P
authors.initials: P
authors.lastname: Morice
authors.forename: P
authors.initials: P
authors.lastname: Duvillard
authors.forename: J L
authors.initials: JL
authors.lastname: Bourgain
authors.forename: D
authors.initials: D
authors.lastname: Castaigne
mesh_terms: D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D010385:Pelvic Exenteration; D002583:Uterine Cervical Neoplasms / Q000601:surgery*