Synchronous abdominal tumors: is combined laparoscopic surgery in a single approach a safe option?
Int. braz. j. urol
;
44(3): 483-490, May-June 2018. tab, graf
Artículo
en Inglés
| LILACS
| ID: biblio-954036
ABSTRACT
ABSTRACT Background and Purpose:
Recent advances in cancer treatment have resulted in bet- ter prognosis with impact on patient's survival, allowing an increase in incidence of a second primary neoplasm. The development of minimally invasive surgery has provided similar outcomes in comparison to open surgery with potentially less mor- bidity. Consequently, this technique has been used as a safe option to simultaneously treat synchronous abdominal malignancies during a single operating room visit. The objective of this study is to describe the experience of two tertiary cancer hospitals in Brazil, in the minimally invasive treatment of synchronous abdominal neoplasms and to evaluate its feasibility and peri-operative results. Materials andMethods:
We retrospectively reviewed the data from patients who were submitted to combined laparoscopic procedures performed in two tertiary hospitals in Brazil from May 2009 to February 2015.Results:
A total of 12 patients (9 males and 3 females) with a mean age of 58.83 years (range 33 to 76 years) underwent combined laparoscopic surgeries for the treatment of at least one urological disease. The total average duration of surgery was 339.8 minutes (range 210 to 480 min). The average amount of intraoperative bleeding was 276.6mL (range 70 to 550mL) and length of hospitalization was 5.08 days (range 3 to 10 days). Two patients suffered minor complications regarding Clavien system during the immediate postoperative period.Conclusions:
Combined laparoscopic surgery for the treatment of synchronous tumors is feasible, viable and safe. In our study, there was a low risk of postoperative morbidity.
Texto completo:
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Índice:
LILACS (Américas)
Asunto principal:
Carcinoma
/
Laparoscopía
/
Neoplasias Abdominales
/
Neoplasias Primarias Múltiples
Tipo de estudio:
Estudios de evaluación
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Adulto
/
Anciano
/
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Int. braz. j. urol
Asunto de la revista:
Urología
Año:
2018
Tipo del documento:
Artículo
País de afiliación:
Brasil
/
Estados Unidos
Institución/País de afiliación:
Faculdade de Medicina do ABC/BR
/
Hospital de Câncer de Barretos/BR
/
MD Anderson Cancer Center/US
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