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

Urology. 1995 Feb;45(2):326-8. 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.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / complications
  • Adenocarcinoma / radiotherapy*
  • Aged
  • Humans
  • Intestinal Diseases / complications
  • Intestinal Diseases / surgery*
  • Intestine, Small
  • Laparoscopy*
  • Male
  • Prostatic Neoplasms / complications
  • Prostatic Neoplasms / radiotherapy*
  • Surgical Mesh*
  • Tissue Adhesions / complications
  • Tissue Adhesions / surgery