Resection of fixed pelvic tumors using the Nd:YAG laser

Clinical experience using the Nd:YAG laser to resect intra-abdominal malignancies is limited. Presented are two cases of recurrent gynecologic cancers, one ovarian carcinoma of low malignant potential and one fallopian tube carcinoma grade 1, in which the Nd:YAG laser allowed removal of recurrent tumor fixed to sacral bone and pelvic sidewall. The ability to accomplish laser vaporization of the tumor bed along with periosteum may reduce the risk of local recurrence. Further investigation of laser treatment of tumors fixed to sacral or pubic bone, pelvic sidewall tissues or other structures should lead to the evolution of the Nd:YAG laser as a useful tool to the cancer surgeon.