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CLINICAL CASE OF SIMULTANEOUS LAPAROSCOPIC SLEEVE GASTRECTOMY AND HYSTERECTOMY OF UTERINE CANCER FEMALE WITH MORBID OBESITY

https://doi.org/10.17238/issn2072-3180.2020.4.82-94

Abstract

Introduction: endometrial cancer has a direct correlation with obesity. Risks of this type of cancer increase with the body weight gain and expected response to treatment becomes less favorable. Significant and persistent weight loss of hysterocarcinoma female with morbid obesity has a positive impact on oncological results, further quality of life, state of comorbidity. Laparoscopic hysterectomy is a priority treatment of early endometrial cancer. Bariatric surgery is considered to be the most effective and radical method of morbid obesity correction.
Clinical case: the cases of bariatric surgery to influence positively the results of carcinoma treatment outcome before and after the main stage have increased recently. An experience of concurrent simultaneous radical surgery of сancer and morbid obesity correction is isolated worldwide nowadays. We would like to present the clinical case of concurrent laparoscopic sleeve gastrectomy and laparoscopic hysterectomy of a 45-year-old female patient with endometrial carcinoma stage IA, morbid obesity and 2 type diabetes mellitus. The short-term results of this case are 21,2% overweight loss within 2 months, sustained remission of diabetes mellitus, clinical group III.
Discussion: the described case is theoretically justified and has, although few, practical prototypes that appear in publications of recent years after successful clinical application.
Conclusion: the current small world experience of such cases requires further accumulation and development of practical aspects and a more detailed study of this topic.

About the Authors

V. S. Samoylov
Budgetary institution of health care of the Voronezh region «Voronezh regional clinical oncological clinic»
Russian Federation

Samoylov Vladimir Sergeevich — PhD in Medicine, Bariatric surgeon, oncologist of oncology department № 4

Vaicehovskogo st., 4, Voronezh, 394036



V. V. Popov
Budgetary institution of health care of the Voronezh region «Voronezh regional clinical oncological clinic»
Russian Federation

Popov Vadim Viktorovich — PhD in Medicine, Department chair

Vaicehovskogo st., 4, Voronezh, 394036



I. P. Moshurov
Budgetary institution of health care of the Voronezh region «Voronezh regional clinical oncological clinic»; Voronezh State Medical University named after N.N. Burdenko
Russian Federation

Moshurov Ivan Petrovich — MD, Professor, Head of the Department of Oncology and specialized surgical disciplines at Voronezh State Medical University named after N.N. Burdenko, Chief physician of Budgetary institution of health care of the Voronezh region «Voronezh regional clinical oncological clinic»

Vaicehovskogo st., 4, Voronezh, 394036



A. A. Mihaylov
Budgetary institution of health care of the Voronezh region «Voronezh regional clinical oncological clinic»
Russian Federation

Mihaylov Andrey Anatolievich — PhD in Medicine, Chief surgeon

Vaicehovskogo st., 4, Voronezh, 394036



K. I. Gorbunova
Budgetary institution of health care of the Voronezh region «Voronezh regional clinical oncological clinic»
Russian Federation

Gorbunova Kristina Igorevna — Oncologist of oncology department № 5

Vaicehovskogo st., 4, Voronezh, 394036



A. V. Stepanenko
Voronezh State Medical University named after N.N. Burdenko
Russian Federation

Stepanenko Artem Vladimirovich — Postgraduate at the Department of Faculty Surgery

Studencheskaya st., 10, Voronezh, 394036



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Samoylov V.S., Popov V.V., Moshurov I.P., Mihaylov A.A., Gorbunova K.I., Stepanenko A.V. CLINICAL CASE OF SIMULTANEOUS LAPAROSCOPIC SLEEVE GASTRECTOMY AND HYSTERECTOMY OF UTERINE CANCER FEMALE WITH MORBID OBESITY. Moscow Surgical Journal. 2020;(4):82-87. (In Russ.) https://doi.org/10.17238/issn2072-3180.2020.4.82-94

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