Sigmoid adenocarcinoma

Patient – 48 years old

DIAGNOSIS: sigmoid adenocarcinoma operat. hysterectomy. tumour recurrence in the vaginal vault with invasion into an enteral loop. adhesion syndrome. pelvic peritoneal carcinomatosis. (pci=3)

OPERATION: vaginal blunt resection. segmental enteral resection. peritoneal pelvic cytoreduction. entero-enteral anastomosis l-l. omphalectomy. Hyperthermic intraperitoneal chemotherapy with intraperitoneal oxaliplatin 41-43 c for 30 min (hipec). iv chemotherapy with 5fu. douglas drainage, subhepatic, splenic box.

Duration of operation: 5 h

Loss sg 0 ml