No standard criteria exist for how to perform a diagnostic laparoscopy. This case series provides evidence of the importance of standardized, reproducible techniques. A single non-oncologic gynecologic surgeon used Near-Contact Laparoscopy (NCL) and Systematic Mapping of the Abdomen and Pelvis (S-MAP) techniques, resulting in the incidental finding and curative treatment of 4 rare cancers over 3 years. Three were neuroendocrine tumors of the appendix (incidence 0.95/100,000; probability of 3 by one surgeon: 0.0000000001). The fourth was a 2 mm well-differentiated papillary mesothelioma (WDPM). All 4 were cured. 3 of 3 infertile patients subsequently achieved pregnancy. The NCL technique was originally coined by Dr. Redwine (PMID: 3190209). The S-MAP method was described in the NaProTechnology textbook by Dr. Thomas Hilgers, and the S-MAP term coined by this author. Case D used robotic-assisted laser excision. Standardization should be incorporated as the gold standard.
near contact laparoscopy systematic mapping abdomen pelvis, S-MAP technique diagnostic laparoscopy endometriosis, Whittaker systematic mapping near contact laparoscopy cancer, neuroendocrine tumor appendix incidental finding laparoscopy, standardized diagnostic laparoscopy technique Hilgers NaPro, Redwine near contact laparoscopy technique, well-differentiated papillary mesothelioma laparoscopic diagnosis, incidental cancer diagnosis during gynecologic surgery, robotic assisted laser excision endometriosis rare cancer, S-MAP NaProTECHNOLOGY laparoscopic surgical technique case series, diagnostic laparoscopy gold standard reproducible technique, infertility treatment after incidental cancer surgery pregnancy outcomes
DOI 10.1016/j.jmig.2024.09.699 10.1016/j.jmig.2024.09.699
Cite this article
Whittaker, N. M. (2024). Case Series: Diagnosis and Treatment of Four Rare Cancers by a Single Surgeon Due to Systematic Mapping and Near Contact Techniques. Journal of Minimally Invasive Gynecology, 31(11), S66. https://doi.org/10.1016/j.jmig.2024.09.699
Whittaker NM. Case Series: Diagnosis and Treatment of Four Rare Cancers by a Single Surgeon Due to Systematic Mapping and Near Contact Techniques. J Minim Invasive Gynecol. 2024;31(11):S66. doi:10.1016/j.jmig.2024.09.699
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