Surgical Film Library-Laparoscopic Management of a Mass Causing Elevated Creatinine Levels After Total Pelvic Exenteration

Laparoscopic Management of a Mass Causing Elevated Creatinine Levels After Total Pelvic Exenteration

Video Transcription

Video Summary

This case discusses laparoscopic management of a 74-year-old woman with elevated creatinine after total pelvic exenteration for recurrent cervical cancer. She presented with malaise, pain, and reduced urine output from an ileal conduit created 4 months prior. Imaging showed a 5.5 cm cystic mass near the ileal conduit. Diagnostic laparoscopy via Palmer’s point was performed due to anticipated adhesions from prior surgeries and radiotherapy. The mass was carefully dissected and removed through a mini-laparotomy. The case highlights that with proper patient selection, laparoscopy is a safe alternative to laparotomy after extensive pelvic surgery, reducing complications.

Asset Subtitle

Atahan Toyran, Turkey

Meta Tag

Route MIS-Laparoscopic

Skill Level Intermediate

Surgical Location Pelvis

Keywords

MIS-Laparoscopic

Pelvis

Intermediate

laparoscopic management

pelvic exenteration

cervical cancer recurrence

ileal conduit complications

minimally invasive surgery

Atahan Toyran