TAILIEUCHUNG - Báo cáo khoa học: "Laparoscopic insertion of pelvic tissue expander to prevent radiation enteritis prior to radiotherapy for prostate cancer"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Radiation Oncology cung cấp cho các bạn kiến thức về ngành y đề tài: Laparoscopic insertion of pelvic tissue expander to prevent radiation enteritis prior to radiotherapy for prostate cancer. | McKay et al. Radiation Oncology 2011 6 47 http content 6 1 47 RADIATION ONCOLOGY CASE REPORT Open Access Laparoscopic insertion of pelvic tissue expander to prevent radiation enteritis prior to radiotherapy for prostate cancer Gary D McKay1 Karen Wong2 and Daniel R Kozman1 Abstract Radiation enteritis is a significant complication of external beam radiotherapy EBRT to the pelvis particularly in patients having high dose radiotherapy 80 Gy and in those with a low pelvic peritoneal reflection allowing loops of small bowel to enter the radiation field. Laparoscopic insertion and subsequent removal of a pelvic tissue expander before and after external beam radiotherapy is a relatively convenient safe and effective method for displacing loops of bowel out of the pelvis. We report on a patient with prostate cancer who ordinarily would not have been a candidate for EBRT due to loops of bowel low in the pelvis. With laparoscopic insertion and subsequent removal of a tissue expander he was able to have radiotherapy to the prostate without developing radiation enteritis. Introduction Prostate cancer is the second most common cancer in men. With the increasing use of primary radiotherapy for prostate cancer and improved survival chronic radiation enteritis is an increasing problem occurring in over 20 of patients 1 . The very high doses of 80 Gy radiotherapy required for prostate cancer which is double that given for most other pelvic malignancies puts those patients with a low peritoneal reflection and low-lying loops of small b owel in the pelvis at particular risk of radiation enteritis. Laparoscopic insertion and subsequent removal of a tissue expander before and after radiotherapy is a relatively convenient and minimally invasive procedure that may be an option for displacing loops of bowel from the radiation field. Case Presentation The patient was a 75 year old man with prostate cancer confirmed by FNA to investigate a raised PSA. He had stage 2 .

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