Laparoscopic enterolysis and placement of an intestinal sling before radiation therapy for the treatment of prostate cancer

• Published in: Urology (Ridgewood, N.J.) Vol. 45; no. 2; pp. 326 - 328
• Main Authors: Jarrett, Thomas W., Pardalidis, Nick P., Silverstein, Martin, Sweetser, Phil M., Smith, Arthur D.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.02.1995; Elsevier Science
• Subjects: Adenocarcinoma - complications; Adenocarcinoma - radiotherapy; Aged; Biological and medical sciences; Humans; Intestinal Diseases - complications; Intestinal Diseases - surgery; Intestine, Small; Laparoscopy; Male; Medical sciences; Nephrology. Urinary tract diseases; Prostatic Neoplasms - complications; Prostatic Neoplasms - radiotherapy; Surgical Mesh; Tissue Adhesions - complications; Tissue Adhesions - surgery; Tumors of the urinary system; Urinary tract. Prostate gland; Human; Postoperative; Urinary system disease; Prostate disease; Adjuvant treatment; Male; Laparoscopy; Malignant tumor; Radiotherapy; Adhesion; Ileum; Case study; Treatment; Digestive diseases; Intestinal disease; Male genital diseases; Prostate; Elderly
• ISSN: 0090-4295; 1527-9995
• DOI: 10.1016/0090-4295(95)80027-1

We present an interesting application of laparoscopy in a man who was otherwise not a candidate for radiotherapy because of an adherent loop of small bowel in the proposed treatment field. Laparoscopic enterolysis was performed and the involved segment was displaced out of the pelvis; a synthetic mesh was placed to serve as a sling to prevent caudal migration back into the pelvis. The patient had a rapid recovery and subsequently completed a full course of radiotherapy. The experienced laparoscopist may find this a good alternative to open surgery in patients with a fixed loop of small bowel who require radiation therapy for pelvic malignancies.