Laparoscopic radical prostatectomy and resection of rectum performed together: first experience

Milos Brodak; Julius Orhalmi; Josef Kosina; Michal Balik; Jaroslav Pacovsky

doi:10.5114/wiitm.2015.54054

!!!NEW!!! CLINICAL FORUM !!!NEW!!!
to make the quarterly livelier and more beneficial for doctors and scientists !!!

On June the 1st, 2021 VSJ launches a new discussion platform in the journal.

We invite all MIS surgeons to rapidly submit for publication:
- small forms describing unusual clinical situations related to their practice,
- short clinical comments relating to any publications in VSJ, including the clinical situations described above
- brief communications of original studies deserving fast publication
- your personal opinions as part of a larger discussion on the VSJ publication
- letters concerning the topics described above

Clinical Forum gives you a means of rapid presentation of your findings in the medical databases, scientific citations on the international forum, and also an Impact Factor!

For further details, see: Instructions for Authors

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

3/2015
vol. 10

Send email

Copy url:

abstract:

Original paper

Laparoscopic radical prostatectomy and resection of rectum performed together: first experience

Milos Brodak

,

Julius Orhalmi

,

Josef Kosina

,

Michal Balik

,

Jaroslav Pacovsky

Videosurgery Miniinv 2015; 10 (3): 442–444

DOI: https://doi.org/10.5114/wiitm.2015.54054

Online publish date: 2015/09/11

View full text Get citation

PlumX metrics:

Introduction: Laparoscopy is an increasingly used approach in the surgical treatment of rectal cancer and prostate cancer. The anatomical proximity of the two organs is the main reason to consider performing both procedures simultaneously.

Aim: To present our first experience of laparoscopic rectal resection and radical prostatectomy, performed simultaneously, in 3 patients.

Material and nethods: The first patient was diagnosed with locally advanced rectal cancer and tumor infiltration of the prostate and seminal vesicles. The other 2 patients were diagnosed with tumor duplicity. The surgery of the first patient started with laparoscopic prostatectomy except division of the prostate from the rectal wall. The next step was resection of the rectum, extralevator amputation of the rectum and vesicourethral anastomosis. In the other patients, resection of the rectum, followed by radical prostatectomy, was performed.

Results: The median follow-up was 12 months. The median operation time was 4 h 40 min, with blood loss of 300 ml. The operations and postoperative course were without incident in the case of 2 patients. However, 1 patient had stercoral peritonitis and a vesicorectal fistula in the early postoperative stage. Sigmoidostomy and postponed ureteroileal conduit were carried out. All patients were in oncologic remission.

Conclusions: Combined laparoscopic rectal resection and radical prostatectomy is a viable option for selected patients with locally advanced rectal cancer or tumor duplication. The procedures were completed without complications in 2 out of 3 patients.

keywords:

Laparoscopic radical prostatectomy and resection of rectum performed together: first experience

Milos Brodak , Julius Orhalmi , Josef Kosina , Michal Balik , Jaroslav Pacovsky

laparoscopic radical prostatectomy, laparoscopic resection of rectal cancer, stercoral peritonitis

Milos Brodak

,

Julius Orhalmi

,

Josef Kosina

,

Michal Balik

,

Jaroslav Pacovsky