R0 resection of vaginal stump recurrence of gynecologic malignancy by bi‐directional endoscopic approach: A case series of four patients
Vaginal stump recurrence post‐hysterectomy for gynecologic malignancies occurs in 2%–3% of cases. Local excision has been recognized as the primary treatment of localized recurrence, in which precise surgical margin is critical. However, R0 resection is not always easy, given the deep and narrow ope...
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| Veröffentlicht in: | Asian journal of endoscopic surgery 2023-01, Vol.16 (1), p.82-85 |
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| creator | Yokoe, Takuya Kita, Masato Butsuhara, Yusuke Hisamatsu, Yoji Okada, Hidetaka |
| description | Vaginal stump recurrence post‐hysterectomy for gynecologic malignancies occurs in 2%–3% of cases. Local excision has been recognized as the primary treatment of localized recurrence, in which precise surgical margin is critical. However, R0 resection is not always easy, given the deep and narrow operation field, as well as severe postoperative fibrosis or adhesion of the vaginal stump at times. Here, we report four cases of vaginal stump recurrence of gynecologic malignancies resected by bi‐directional (laparoscopic and pneumovaginoscopic) endoscopy to overcome these difficulties. The primary tumors were uterine cancer in two cases and uterine cervical and ovarian cancer in one case each. The mean operating time was 199 (162–235) minutes, blood loss was minimal, and no perioperative complications were observed. Postoperative follow‐up (7.0–19.4 months) revealed no recurrence. This combined procedure could be a therapeutic option for localized vaginal stump recurrence. |
| doi_str_mv | 10.1111/ases.13100 |
| format | Article |
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Local excision has been recognized as the primary treatment of localized recurrence, in which precise surgical margin is critical. However, R0 resection is not always easy, given the deep and narrow operation field, as well as severe postoperative fibrosis or adhesion of the vaginal stump at times. Here, we report four cases of vaginal stump recurrence of gynecologic malignancies resected by bi‐directional (laparoscopic and pneumovaginoscopic) endoscopy to overcome these difficulties. The primary tumors were uterine cancer in two cases and uterine cervical and ovarian cancer in one case each. The mean operating time was 199 (162–235) minutes, blood loss was minimal, and no perioperative complications were observed. Postoperative follow‐up (7.0–19.4 months) revealed no recurrence. This combined procedure could be a therapeutic option for localized vaginal stump recurrence.</description><identifier>ISSN: 1758-5902</identifier><identifier>EISSN: 1758-5910</identifier><identifier>DOI: 10.1111/ases.13100</identifier><identifier>PMID: 35817422</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley & Sons Australia, Ltd</publisher><subject>Female ; Genital cancers ; Genital Neoplasms, Female - surgery ; Gynecological cancer ; Gynecology ; Humans ; Hysterectomy ; Hysterectomy - methods ; Laparoscopy - methods ; Ovarian cancer ; Uterine cancer ; Uterine Cervical Neoplasms - surgery ; Vagina - surgery ; vaginal stump recurrence</subject><ispartof>Asian journal of endoscopic surgery, 2023-01, Vol.16 (1), p.82-85</ispartof><rights>2022 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.</rights><rights>2023 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3480-d620d52dc617016c61928d24bf7c5ffaddf4d9bd7d640d0ec9793dc4dfd6742c3</citedby><cites>FETCH-LOGICAL-c3480-d620d52dc617016c61928d24bf7c5ffaddf4d9bd7d640d0ec9793dc4dfd6742c3</cites><orcidid>0000-0001-8506-0464</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fases.13100$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fases.13100$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35817422$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yokoe, Takuya</creatorcontrib><creatorcontrib>Kita, Masato</creatorcontrib><creatorcontrib>Butsuhara, Yusuke</creatorcontrib><creatorcontrib>Hisamatsu, Yoji</creatorcontrib><creatorcontrib>Okada, Hidetaka</creatorcontrib><title>R0 resection of vaginal stump recurrence of gynecologic malignancy by bi‐directional endoscopic approach: A case series of four patients</title><title>Asian journal of endoscopic surgery</title><addtitle>Asian J Endosc Surg</addtitle><description>Vaginal stump recurrence post‐hysterectomy for gynecologic malignancies occurs in 2%–3% of cases. Local excision has been recognized as the primary treatment of localized recurrence, in which precise surgical margin is critical. However, R0 resection is not always easy, given the deep and narrow operation field, as well as severe postoperative fibrosis or adhesion of the vaginal stump at times. Here, we report four cases of vaginal stump recurrence of gynecologic malignancies resected by bi‐directional (laparoscopic and pneumovaginoscopic) endoscopy to overcome these difficulties. The primary tumors were uterine cancer in two cases and uterine cervical and ovarian cancer in one case each. The mean operating time was 199 (162–235) minutes, blood loss was minimal, and no perioperative complications were observed. Postoperative follow‐up (7.0–19.4 months) revealed no recurrence. This combined procedure could be a therapeutic option for localized vaginal stump recurrence.</description><subject>Female</subject><subject>Genital cancers</subject><subject>Genital Neoplasms, Female - surgery</subject><subject>Gynecological cancer</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Hysterectomy</subject><subject>Hysterectomy - methods</subject><subject>Laparoscopy - methods</subject><subject>Ovarian cancer</subject><subject>Uterine cancer</subject><subject>Uterine Cervical Neoplasms - surgery</subject><subject>Vagina - surgery</subject><subject>vaginal stump recurrence</subject><issn>1758-5902</issn><issn>1758-5910</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKxDAUhoMojo5ufAAJuBM6Jm16czcM4wUGBEfXJc2lZmibmrRKd65d-Yw-iakdZ-nhwAmc7_z8-QE4w2iGXV1RK-wMBxihPXCE4zDxwhSj_d0b-RNwbO0GoSjGJDgEkyBMcEx8_wh8PiJohBWsVbqGWsI3WqialtC2XdW4FeuMETUTw67oa8F0qQvFYEVLVdS0Zj3MXavvjy-uzKjjzkXNtWW6cSRtGqMpe7mGc8icV2iFUcIOglJ3Bja0VaJu7Qk4kLS04nQ7p-D5Zvm0uPNWD7f3i_nKYwFJkMcjH_HQ5yzCMcKRG6mfcJ_kMmahlJRzSXia85hHBHEkWBqnAWeESx65P7NgCi5GXWfrtRO2zTbOhjNtMz-OECLEtaMuR4oZba0RMmuMqqjpM4yyIfZsiD37jd3B51vJLq8E36F_OTsAj8C7KkX_j1Q2Xy_Xo-gP982Qpg</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Yokoe, Takuya</creator><creator>Kita, Masato</creator><creator>Butsuhara, Yusuke</creator><creator>Hisamatsu, Yoji</creator><creator>Okada, Hidetaka</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><orcidid>https://orcid.org/0000-0001-8506-0464</orcidid></search><sort><creationdate>202301</creationdate><title>R0 resection of vaginal stump recurrence of gynecologic malignancy by bi‐directional endoscopic approach: A case series of four patients</title><author>Yokoe, Takuya ; Kita, Masato ; Butsuhara, Yusuke ; Hisamatsu, Yoji ; Okada, Hidetaka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3480-d620d52dc617016c61928d24bf7c5ffaddf4d9bd7d640d0ec9793dc4dfd6742c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Female</topic><topic>Genital cancers</topic><topic>Genital Neoplasms, Female - surgery</topic><topic>Gynecological cancer</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Hysterectomy</topic><topic>Hysterectomy - methods</topic><topic>Laparoscopy - methods</topic><topic>Ovarian cancer</topic><topic>Uterine cancer</topic><topic>Uterine Cervical Neoplasms - surgery</topic><topic>Vagina - surgery</topic><topic>vaginal stump recurrence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yokoe, Takuya</creatorcontrib><creatorcontrib>Kita, Masato</creatorcontrib><creatorcontrib>Butsuhara, Yusuke</creatorcontrib><creatorcontrib>Hisamatsu, Yoji</creatorcontrib><creatorcontrib>Okada, Hidetaka</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Asian journal of endoscopic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yokoe, Takuya</au><au>Kita, Masato</au><au>Butsuhara, Yusuke</au><au>Hisamatsu, Yoji</au><au>Okada, Hidetaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>R0 resection of vaginal stump recurrence of gynecologic malignancy by bi‐directional endoscopic approach: A case series of four patients</atitle><jtitle>Asian journal of endoscopic surgery</jtitle><addtitle>Asian J Endosc Surg</addtitle><date>2023-01</date><risdate>2023</risdate><volume>16</volume><issue>1</issue><spage>82</spage><epage>85</epage><pages>82-85</pages><issn>1758-5902</issn><eissn>1758-5910</eissn><abstract>Vaginal stump recurrence post‐hysterectomy for gynecologic malignancies occurs in 2%–3% of cases. Local excision has been recognized as the primary treatment of localized recurrence, in which precise surgical margin is critical. However, R0 resection is not always easy, given the deep and narrow operation field, as well as severe postoperative fibrosis or adhesion of the vaginal stump at times. Here, we report four cases of vaginal stump recurrence of gynecologic malignancies resected by bi‐directional (laparoscopic and pneumovaginoscopic) endoscopy to overcome these difficulties. The primary tumors were uterine cancer in two cases and uterine cervical and ovarian cancer in one case each. The mean operating time was 199 (162–235) minutes, blood loss was minimal, and no perioperative complications were observed. Postoperative follow‐up (7.0–19.4 months) revealed no recurrence. This combined procedure could be a therapeutic option for localized vaginal stump recurrence.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>35817422</pmid><doi>10.1111/ases.13100</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0001-8506-0464</orcidid></addata></record> |
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| ispartof | Asian journal of endoscopic surgery, 2023-01, Vol.16 (1), p.82-85 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Female Genital cancers Genital Neoplasms, Female - surgery Gynecological cancer Gynecology Humans Hysterectomy Hysterectomy - methods Laparoscopy - methods Ovarian cancer Uterine cancer Uterine Cervical Neoplasms - surgery Vagina - surgery vaginal stump recurrence |
| title | R0 resection of vaginal stump recurrence of gynecologic malignancy by bi‐directional endoscopic approach: A case series of four patients |
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