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Your search keyword '"Heid R"' showing total 4 results
Start Over Author "Heid R" Journal surgical endoscopy
4 results on '"Heid R"'

3. Resection of presacral ganglioneurofibroma by laparascopy

Author

Köhler, C., Kühne-Heid, R., Klemm, P., Tozzi, R., and Schneider, A.

Abstract

Background. Tumors of the retrorectal space are rare. They comprise a heterogeneous group of benign or malignant tumors that cause similar symptoms due to their location in presacral space. If possible, complete surgery excision is the therapy of choice mainly through a sacral, abdominal–sacral, or a pure abdominal or perineal axis. Case report. A 15-year-old asymptomatic patient was diagnosed with a retrouterine tumor during her first gynecological examination. Magnetic resonance imaging of the pelvis showed a 10 × 8.5 × 7-cm encapsulated presacral tumor. Retrorectal ganglioneurofibroma was removed by laparoscopy with preservation of the sympathetic and parasympathetic nerves and the sacral roots of the ischiadic nerves. No sensory or motoric dysfunction of the legs, bladder, or rectum was observed postoperatively. Conclusion. This is the first case report of a complete endoscopic removal of large presacral ganglioneurofibroma in an asymptomatic woman.

Published
2003
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4. Trocar-site metastasis is not always due to laparoscopy.

Author

Hertel H, Fleck M, Kühne-Heid R, and Schneider A

Subjects
Abdominal Neoplasms etiology, Abdominal Neoplasms ultrastructure, Endometrial Neoplasms diagnostic imaging, Endometrial Neoplasms pathology, Endometrial Neoplasms radiotherapy, Female, Humans, Middle Aged, Neoplasm Recurrence, Local diagnostic imaging, Skin Neoplasms diagnostic imaging, Skin Neoplasms etiology, Ultrasonography, Abdominal Neoplasms secondary, Endometrial Neoplasms surgery, Laparoscopy adverse effects, Neoplasm Recurrence, Local surgery, Neoplasm Seeding, Skin Neoplasms secondary, Umbilicus
Abstract

The use of laparoscopic surgical techniques for the management of gynecologic malignancies has increased over the last years. Metastasis developing at the trocar insertion site is an emerging problem. We present the case of a 66-year-old woman with endometrial cancer who was diagnosed with an umbilical tumor after laparoscopically assisted vaginal hysterectomy (LAVH) and bilateral salpingoophorectomy. The interval between LAVH and diagnosis of the umbilical tumor was 13 months. The tumor was excised, and metastasis of endometrial cancer was histologically confirmed. Review of computer tomograms taken before LAVH showed a tumor in the umbilical area that had not been recognized before therapy. Therefore, tumor manifestation at the abdominal wall after laparoscopic surgery should not automatically be considered the result of iatrogenic spreading.

Published
2001
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