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Minimally invasive, 'en-bloc' seminal vesicle excision for locally advanced rectal adenocarcinoma: surgical technique and short-term outcomes.
Desouza, Ashwin; Kazi, Mufaddal; Bankar, Sanket; Pandey, Diwakar; Janesh, Murugan; Saklani, Avanish.
Afiliación
  • Desouza A; Department of Surgical Oncology, Tata Memorial Centre, Mumbai, India.
  • Kazi M; HBNI, Homi Bhabha National Institute, Mumbai, India.
  • Bankar S; Department of Surgical Oncology, Tata Memorial Centre, Mumbai, India.
  • Pandey D; HBNI, Homi Bhabha National Institute, Mumbai, India.
  • Janesh M; Division of Surgical Oncology, D.Y. Patil Medical College Hospital and Research Centre, Pune, India.
  • Saklani A; Department of Surgical Oncology, Tata Memorial Centre, Mumbai, India.
ANZ J Surg ; 92(10): 2595-2599, 2022 10.
Article en En | MEDLINE | ID: mdl-35762325
BACKGROUND: Isolated seminal vesicle invasion is a rare occurrence in patients with locally advanced rectal cancers. This study describes the surgical technique and the perioperative outcomes of minimally invasive 'en-bloc' seminal vesicle excision, preserving the bladder and the prostate. METHODS: A retrospective review of 23 consecutive patients who underwent minimally invasive, en-bloc resection of seminal vesicles for locally advanced, non-metastatic rectal adenocarcinoma between May 2016 and November 2021. Perioperative outcomes and short-term oncological outcomes were defined. RESULTS: Eighteen patients underwent a laparoscopic procedure while five received a robotic resection. All patients received preoperative radiation with or without consolidation chemotherapy. The median age was 42 years (range 20-64 years) and the median hospital stay was 8 days (range 3-19 days), respectively. Serious complications (Clavien-Dindo ≥ IIIb) were seen in six patients (26.1%). Two patients (8.7%) had an involved circumferential resection margin. At a median follow up of 19 months (range 2-52 months), four patients developed recurrences. The 2-year overall and disease-free survival was 84.4% and 73.6%, respectively. CONCLUSION: Minimally invasive, en-bloc resection of one or both seminal vesicles for locally advanced rectal adenocarcinoma, is feasible in a select group of patients with acceptable morbidity and short-term outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Recto / Adenocarcinoma / Laparoscopía / Procedimientos Quirúrgicos Robotizados Tipo de estudio: Observational_studies Límite: Humans / Infant / Male / Newborn Idioma: En Revista: ANZ J Surg Año: 2022 Tipo del documento: Article País de afiliación: India Pais de publicación: Australia
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Recto / Adenocarcinoma / Laparoscopía / Procedimientos Quirúrgicos Robotizados Tipo de estudio: Observational_studies Límite: Humans / Infant / Male / Newborn Idioma: En Revista: ANZ J Surg Año: 2022 Tipo del documento: Article País de afiliación: India Pais de publicación: Australia