Outcomes of Advanced Oncological Laparoscopic Procedures in a Tertiary Care Center

  • Shanmugasundaram Gouthaman Chennai, Tamil Nadu, India
  • Sivasundari Maharajan Chennai, Tamil Nadu, India
Keywords: Laparoscopic type C1 radical hysterectomy, Okabayashi space, Thoracoscopic esophagectomy

Abstract

Introduction: Advanced laparoscopic procedures are performed in oncology for almost all visceral sites. We present the oncological and functional outcomes of series of patients who underwent advanced laparoscopic oncological procedures in our tertiary care center.
Materials and Methods: We analyzed 34 consecutive patients who underwent advanced laparoscopic oncological procedures by the same surgeon in the department of surgical oncology during the period of 2015–2019. Five patients underwent laparoscopic type C1 radical hysterectomy. Laparoscopic abdominoperineal resection was done for six patients, laparoscopic staging for carcinoma endometrium for seven patients, thoracoscopic esophagectomy for five patients, laparoscopic-assisted distal gastrectomy for two patients, and laparoscopic staging for ovarian cancer for four patients. Laparoscopic right radical nephrectomy and laparoscopic right hemicolectomy were done for one patient each.
Results: Out of the five patients who underwent laparoscopic Type C1 radical hysterectomy, one patient had residual IB1 disease. There was no bladder morbidity and all patients are alive without disease. Two patients who underwent laparoscopic abdominoperineal resection and one patient after thoracoscopic esophagectomy developed disease recurrence. None of the patients who underwent other procedures had major morbidity or disease recurrence.
Conclusion: Advanced laparoscopic procedures are feasible in oncology with minimal morbidity and good oncological outcome. The nodal yield and oncological outcome improve with increasing experience of the surgeon in minimally invasive surgical oncology.

Author Biographies

Shanmugasundaram Gouthaman, Chennai, Tamil Nadu, India

Associate Professor, Department of Surgical Oncology, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra Institute of Higher Education and Research (Deemed University), 

Sivasundari Maharajan, Chennai, Tamil Nadu, India

Professor, Department of Obstetrics and Gynaecology, Saveetha Medical College and Hospitals, 

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Published
2020-06-19