RT Journal Article
SR Electronic
T1 2022-VA-633-ESGO Standardized LEER procedure
JF International Journal of Gynecologic Cancer
JO Int J Gynecol Cancer
FD BMJ Publishing Group Ltd
SP A18
OP A19
DO 10.1136/ijgc-2022-ESGO.40
VO 32
IS Suppl 2
A1 Víctor Lago
A1 Blanca Segarra-Vidal
A1 Pablo Padilla-Iserte
A1 Luis Matute
A1 Marta Gurrea
A1 Jose Antonio Pérez Álvarez
A1 Santiago Domingo
YR 2022
UL http://ijgc.bmj.com/content/32/Suppl_2/A18.3.abstract
AB Introduction/Background Recurrence of cervical cancer is a challenge especially in patients who have received Radiochemotherapy for local extension at diagnosis. It is relatively common to find, in case of recurrence, situations where the hypogastric vessels, obturator muscle and nerve are affected.Methodology The procedure called lateral extended endopelvic resection (LEER) was described by Hoekel et al. for surgical resection of lateral pelvic recurrences. We present a video surgery describing the vascular and nervous anatomy of the lateral pelvis and a case of 4-D reconstruction of the tumour and surgical resection of the tumour.Results LEER + Radical Hysterectomy + ureteral reimplantation + intraoperative radiotherapy was performed in a patient referred to our department for a single recurrence of cervical cancer on the right side of the pelvis after primary treatment with RT-QT. Complete resection of the tumour was achieved as shown in the video with un eventful post operative period. Free of disease after 2 years.Abstract 2022-VA-633-ESGO Figure 1 Conclusion With thorough anatomical knowledge, surgical resection of the lateral pelvic compartment is possible in case of recurrences.