Use of a balloon catheter in management of the pelvic space following laparoscopic abdominoperineal excision.

摘要: Aim  Management of the pelvic space following laparoscopic abdominoperineal excision remains controversial. We describe a simple technique for obliteration after excision. Method  Pneumoperitoneum was re-established completion operative procedure and Foley catheter Ch. 24 inserted through right lower port under direct vision. The balloon catheter, placed in presacral space, filled with 50 ml sterile saline connected to passive drainage. removed 10 days postoperatively. Results  This used 15 patients median age 74 years (range 63–86). Eleven were treated preoperative chemoradiotherapy. length hospital stay 9 days 5–11). Two (13.3%) chemoradiotherapy developed superficial perineal wound infection four (26.6%) had deep abscess, which required surgical time healing 3 months 2–8). follow-up 36 months (range18–60). None hernia or intestinal obstruction period. One patient underwent small bowel resection due stenosis caused by radiation enteritis. There no local recurrence, but two distant metastases 12 months. Conclusion  Our results suggest that filling cavity creation thin, fibrotic peritoneal layer keeps intestine out pelvis prevents loops adhering cavity.