Laparoscopic total pelvic exenteration for XXXX : the technique and short-time outcome of 11 cases.

@entity1 @entity5 @entity190 @entity1151 @entity3 @entity3816
BACKGROUND: Previous reports about laparoscopic total pelvic exenteration (LTPE) are still limited. In the present study, we described our single-center experience of the initial 11 cases. METHODS: Between April 2011 and September 2015, eight males and three females diagnosed as @entity5 underwent LTPE by the same operation team. We retrospectively collected all cases' parameters about surgical technique. Thirty-seven @entity1 who received open surgery were also retrospectively collected. A comparison between LTPE and open surgery was performed to evaluate the feasibility and safety of LTPE. RESULTS: Eleven cases successfully underwent the LTPE without any @entity3816 . No open conversion was required. Eight @entity1 underwent Bricker's procedure. Three @entity1 were performed with the cutaneous ureterostomy. Anus preservation operation was performed in three @entity1 . Compared with open surgery, LTPE had longer mean operative time (565.2 vs 468.2  min, p   =   0.004) but less mean @entity190 (547.3 vs 1033.0  ml, p   <   0.001) and shorter postoperative hospitalization time (15.3 vs 22.4  days, p   =   0.004). One @entity1 died of @entity1151 in the 7th month of follow-up time. One @entity1 died of recurrence in the 12th month of follow-up time. Nine @entity1 are still alive without recurrence and @entity3 . The mean follow-up time was 11.1  months. CONCLUSIONS: The technique of LTPE seems to be feasible and safe in the treatment of carefully selected @entity1 of @entity5 . LTPE can also decrease the @entity190 , the recovery time, and the hospital stay. But the oncological safety and long-term outcome of LTPE still need to be explored.
