Article

Laparoscopy-assisted transvaginal resection of sigmoid cancer

ABSTRACT Objective
To investigate the feasibility and safety of laparoscopy-assisted transvaginal resection of sigmoid cancer.

Methods
From 2009 to 2011 we performed 21 laparoscopy-assisted transvaginal resections of sigmoid cancers.

Results
The resected tumours were T1(6), T2(7) and T3(8). The median number of resected lymphnodes was 15. Median operative time was 150 minutes and no conversion to open technique was necessary. A total of eighteen patients tolerated a liquid diet 24 hours after surgery. The average VAS pain score (0=no pain, 10=unbearable pain) was 1.8 after 24 hours and 1.1 after 48 hours. One patient experienced a postoperative ileus, two patients had vaginal spotting with serous flow and three patients suffered urinary tract infections. One patient developed a hernia at the umbilical trocar site that was operated on. None of the sexually active patients reported any differences in sexual activity pre-op and post-op on a postoperative quetionnaire. After a median of 25 (10–41) months of follow-up, all patients are alive and well, with no evidence of recurrent disease.

Conclusion
Laparoscopy-assisted transvaginal resection of sigmoid cancer is feasible and safe in a selected group of patients.

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    International Journal of Colorectal Disease 03/2015; DOI:10.1007/s00384-015-2178-x · 2.42 Impact Factor