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Left External Iliac Vein Injury During Laparoscopic Pelvic Lymphadenectomy for Early-Stage Ovarian Cancer: Our Experience and Review of Literature

Laparoscopic surgical staging is the standard treatment of early-stage ovarian tumors with similar survival outcomes if compared with laparotomic procedures. In this article, we report a case regarding an incidental external iliac vein injury during a pelvic lymphadenectomy for fertility sparing tre...

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Autores principales: Tinelli, Raffaele, Dellino, Miriam, Nappi, Luigi, Sorrentino, Felice, D'Alterio, Maurizio Nicola, Angioni, Stefano, Bogani, Giorgio, Pisconti, Salvatore, Uccella, Stefano, Silvestris, Erica
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8959709/
https://www.ncbi.nlm.nih.gov/pubmed/35356499
http://dx.doi.org/10.3389/fsurg.2022.843641
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author Tinelli, Raffaele
Dellino, Miriam
Nappi, Luigi
Sorrentino, Felice
D'Alterio, Maurizio Nicola
Angioni, Stefano
Bogani, Giorgio
Pisconti, Salvatore
Uccella, Stefano
Silvestris, Erica
author_facet Tinelli, Raffaele
Dellino, Miriam
Nappi, Luigi
Sorrentino, Felice
D'Alterio, Maurizio Nicola
Angioni, Stefano
Bogani, Giorgio
Pisconti, Salvatore
Uccella, Stefano
Silvestris, Erica
author_sort Tinelli, Raffaele
collection PubMed
description Laparoscopic surgical staging is the standard treatment of early-stage ovarian tumors with similar survival outcomes if compared with laparotomic procedures. In this article, we report a case regarding an incidental external iliac vein injury during a pelvic lymphadenectomy for fertility sparing treatment of early-stage ovarian cancer with a video showing the laparoscopic repair without any consequence or side effect. A 36 year-old obese woman with Body Mass Index 30 kg/m(2) referred at our hospital with an histological diagnosis of high grade ovarian serous carcinoma after a left laparoscopic salpingo-oophorectomy performed in another hospital. After an hysteroscopy with endometrial biopsy, a laparoscopic surgical staging with a pelvic and aortic lymphadenectomy with lymph-node dissection until the left renal vein, omentectomy, and appendectomy were performed. A thermal injury to the left external iliac vein occurred using the bipolar forceps during lymphadenectomy and was repaired after an immediate clamping of the site using endoclinch and the suction irrigator probe. The laceration on the iliac vein was successfully repaired using 10 mm laparoscopic titanium clips; after a follow-up of 42 months no recurrence was detected. In conclusion, laparoscopy is a safe and effective therapeutic option for fertility sparing treatment patients with early stage ovarian carcinoma with a significantly low morbidity and postoperative hospitalization, but it should be reserved for oncologic surgeons trained in advanced laparoscopic procedures and repair of vascular injuries potentially associated with high mortality rate.
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spelling pubmed-89597092022-03-29 Left External Iliac Vein Injury During Laparoscopic Pelvic Lymphadenectomy for Early-Stage Ovarian Cancer: Our Experience and Review of Literature Tinelli, Raffaele Dellino, Miriam Nappi, Luigi Sorrentino, Felice D'Alterio, Maurizio Nicola Angioni, Stefano Bogani, Giorgio Pisconti, Salvatore Uccella, Stefano Silvestris, Erica Front Surg Surgery Laparoscopic surgical staging is the standard treatment of early-stage ovarian tumors with similar survival outcomes if compared with laparotomic procedures. In this article, we report a case regarding an incidental external iliac vein injury during a pelvic lymphadenectomy for fertility sparing treatment of early-stage ovarian cancer with a video showing the laparoscopic repair without any consequence or side effect. A 36 year-old obese woman with Body Mass Index 30 kg/m(2) referred at our hospital with an histological diagnosis of high grade ovarian serous carcinoma after a left laparoscopic salpingo-oophorectomy performed in another hospital. After an hysteroscopy with endometrial biopsy, a laparoscopic surgical staging with a pelvic and aortic lymphadenectomy with lymph-node dissection until the left renal vein, omentectomy, and appendectomy were performed. A thermal injury to the left external iliac vein occurred using the bipolar forceps during lymphadenectomy and was repaired after an immediate clamping of the site using endoclinch and the suction irrigator probe. The laceration on the iliac vein was successfully repaired using 10 mm laparoscopic titanium clips; after a follow-up of 42 months no recurrence was detected. In conclusion, laparoscopy is a safe and effective therapeutic option for fertility sparing treatment patients with early stage ovarian carcinoma with a significantly low morbidity and postoperative hospitalization, but it should be reserved for oncologic surgeons trained in advanced laparoscopic procedures and repair of vascular injuries potentially associated with high mortality rate. Frontiers Media S.A. 2022-03-09 /pmc/articles/PMC8959709/ /pubmed/35356499 http://dx.doi.org/10.3389/fsurg.2022.843641 Text en Copyright © 2022 Tinelli, Dellino, Nappi, Sorrentino, D'Alterio, Angioni, Bogani, Pisconti, Uccella and Silvestris. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Tinelli, Raffaele
Dellino, Miriam
Nappi, Luigi
Sorrentino, Felice
D'Alterio, Maurizio Nicola
Angioni, Stefano
Bogani, Giorgio
Pisconti, Salvatore
Uccella, Stefano
Silvestris, Erica
Left External Iliac Vein Injury During Laparoscopic Pelvic Lymphadenectomy for Early-Stage Ovarian Cancer: Our Experience and Review of Literature
title Left External Iliac Vein Injury During Laparoscopic Pelvic Lymphadenectomy for Early-Stage Ovarian Cancer: Our Experience and Review of Literature
title_full Left External Iliac Vein Injury During Laparoscopic Pelvic Lymphadenectomy for Early-Stage Ovarian Cancer: Our Experience and Review of Literature
title_fullStr Left External Iliac Vein Injury During Laparoscopic Pelvic Lymphadenectomy for Early-Stage Ovarian Cancer: Our Experience and Review of Literature
title_full_unstemmed Left External Iliac Vein Injury During Laparoscopic Pelvic Lymphadenectomy for Early-Stage Ovarian Cancer: Our Experience and Review of Literature
title_short Left External Iliac Vein Injury During Laparoscopic Pelvic Lymphadenectomy for Early-Stage Ovarian Cancer: Our Experience and Review of Literature
title_sort left external iliac vein injury during laparoscopic pelvic lymphadenectomy for early-stage ovarian cancer: our experience and review of literature
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8959709/
https://www.ncbi.nlm.nih.gov/pubmed/35356499
http://dx.doi.org/10.3389/fsurg.2022.843641
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