Laparoscopic hand-assisted Miami Pouch following laparoscopic anterior pelvic exenteration.
BACKGROUND
To determine the feasibility of a laparoscopic hand-assisted Miami Pouch following a laparoscopic anterior pelvic exenteration.


METHODS
We performed a laparoscopic hand-assisted Miami Pouch following a laparoscopic anterior pelvic exenteration. The procedure involved resection of the bladder, uterus, ovaries, and upper vagina en bloc and the formation of a "Miami Pouch" for continent urinary diversion. The procedure was successful. The operative time was 6 h. The postoperative course was uneventful.


CONCLUSIONS
Laparoscopic hand-assisted Miami Pouch following laparoscopic anterior pelvic exenteration is feasible.
Pomel
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Department of Surgical Oncology, Gustave Roussy Institute Comprehensive Cancer Centre, Villejuif 94805, France. pomel@igr.fr
Castaigne
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D
D000230:Adenocarcinoma / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008875:Middle Aged; D010385:Pelvic Exenteration / Q000379:methods*; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D016476:Urinary Reservoirs, Continent; D002583:Uterine Cervical Neoplasms / Q000601:surgery*