Surgery and OncologySurgery and OncologyХирургия и онкология2949-5857Publishing House ABV Press22010.17650/2220-3478-2017-7-2-60-65CASE REPORTКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯLaparoscopic anterior pelvic exenteration with sigmoid colon resection (clinical observation)Лапароскопическая передняя эвисцерация органов малого таза с резекцией сигмовидной кишки (клиническое наблюдение)RasulovA. O.РасуловА. О.
Russian Federation
arsen69@list.ruAlievV. A.АлиевВ. А.
Russian Federation
arsen69@list.ruOvchinnikovaA. I.ОвчинниковаА. И.
Russian Federation
arsen69@list.ruDzhumabaevKh. E.ДжумабаевХ. Э.
Russian Federation
arsen69@list.ruN.N. Blokhin National Medical Research Oncology Center, Ministry of Health of RussiaФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России280920177260652809201728092017Copyright ©; 2017, Rasulov A.O., Aliev V.A., Ovchinnikova A.I., Dzhumabaev K.E.Copyright ©; 2017, Расулов А.О., Алиев В.А., Овчинникова А.И., Джумабаев Х.Э.2017Rasulov A.O., Aliev V.A., Ovchinnikova A.I., Dzhumabaev K.E.Расулов А.О., Алиев В.А., Овчинникова А.И., Джумабаев Х.Э.https://creativecommons.org/licenses/by/4.0https://onco-surgery.info/jour/article/view/220

The clinical observation demonstrates a successful surgical treatment of a 61-year-old female patient K. (body mass index 38.4) diagnosed with locally advanced sigmoid colon cancer protruded into the bladder and uterus (сT4bN2M0) with formation of a colovesical fistula. The patient underwent surgical treatment in the form of laparoscopic resection of the sigmoid colon and supralevator anterior pelvic exenteration with formation of a Bricker conduit. Intraoperative blood loss was 200 ml. Postoperative period was smooth, with fast track rehabilitation; the patient was discharged on day 9. Considering cancer stage, the patient received XELOX as adjuvant chemotherapy for 6 months after the surgery. During a year of follow-up, no signs of disease progression were evident. The patient is fully socially rehabilitated.

 

 

В клиническом наблюдении продемонстрировано успешное хирургическое лечение пациентки К. 61 года (индекс массы тела 38,4), у которой был диагностирован местно-распространенный рак сигмовидной кишки с врастанием в мочевой пузырь и матку (сT4bN2M0) с образованием толстокишечно-пузырного свища. Больной было выполнено хирургическое вмешательство в объеме лапароскопической резекции сигмовидной кишки, супралеваторной передней эвисцерации органов малого таза с формированием кондуита по Брикеру. Интраоперационная кровопотеря составила 200 мл. Течение послеоперационного периода гладкое, с применением протокола ускоренной реабилитации; больная выписана на 9-е сутки. С учетом стадии заболевания в течение 6 мес после операции проводилась адъювантная полихимиотерапия по схеме XELOX. В течение 1 года наблюдения данные за прогрессирование основного заболевания отсутствуют. Пациентка полностью реабилитирована в социальном аспекте.

 

 

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