Pelvic exenteration for advanced malignancy in elderly patients

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Pelvic exenteration for advanced rectal carcinoma.

Twelve patients with advanced rectal cancer and no evidence of extrapelvic metastases underwent pelvic exenteration. The operative mortality rate was 8.3 per cent. Determinate 3 and 5 year survival rates of 54 and 37 per cent were achieved. Criteria for the selection of patients and techniques of supravesical urinary diversion are discussed.

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Total pelvic exenteration for the treatment of advanced primary or recurrent pelvic neoplasia.

INTRODUCTION Complete resection with clear margins in locally advanced pelvic visceral tumors, primary or recurrent, occasionally requires total pelvic exenteration (TPE). METHODS We reviewed the results of EFA in 34 consecutive patients operated on between June 2006 and December 2013. RESULTS Median age was 62 (40-82) years; 24 (70%) were male. The tumor origin most frequent was advanced p...

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Pelvic Exenteration: Surgical Approaches

Although the incidence of local recurrence after curative resection of rectal cancer has decreased due to the understanding of the anatomy of pelvic structures and the adoption of total mesorectal excision, local recurrence in the pelvis still remains a significant and troublesome complication. While surgery for recurrent rectal cancer may offer a chance for a cure, conservative management, inc...

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Pelvic Exenteration in Gynecologic Cancer

Background: Pelvic exenteration is an ultraradical surgery involving the en bloc resection of the pelvic organs, including the internal reproductive organs, the distal urinary tract (ureters, bladder, urethra), and/or anorectum. It is mainly applied as a salvage surgery for recurrent gynecologic tumors of any origin (vulva, vagina, cervix, uterine, and also ovary). Our aim was to establish the ...

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Total Pelvic Exenteration

expanded in the last years. Published data has demonstrated the feasibility and safety of this technique for several several gynecologic oncology procedures. Main advantages when compared to open approach are less blood loss, decreased morbidity, shorter hospital stay, and earlier recovery. Tumor dissemination and port site implantation have been described for patients undergoing operative lapa...

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ژورنال

عنوان ژورنال: British Journal of Surgery

سال: 2015

ISSN: 0007-1323,1365-2168

DOI: 10.1002/bjs.10058