Pelvic exenteration – reconsidering the procedure
نویسندگان
چکیده
Pelvic exenteration remains one of the most destructive surgical procedures in gynecologic oncology, performed in patients with locally advanced malignancies who were considered for a long time as unresectable. However, for these patients, an aggressive surgical approach seems to be the only potential curative solution. This is a literature review of the most important studies, which analyzes the benefits and the secondary risks of this demanding procedure.
منابع مشابه
Complications and Outcome of Pelvic Exenteration in Thai Gynecologic Oncology Patients
Pelvic exenteration is a radical surgery which includes the en bloc resection of the pelvic organs and followed by surgical reconstruction (Hockel et al., 2006; Diver et al., 2012). The en bloc resection includes internal reproductive organs, rectosigmoid colon, urinary bladder and distal ureters. Pelvic exenteration is classified into 3 types; anterior pelvic exenteration, posterior pelvic exe...
متن کاملLaparoscopic hand-assisted Miami Pouch following laparoscopic anterior pelvic exenteration.
BACKGROUND To determine the feasibility of a laparoscopic hand-assisted Miami Pouch following a laparoscopic anterior pelvic exenteration. CASE We performed a laparoscopic hand-assisted Miami Pouch following a laparoscopic anterior pelvic exenteration. The procedure involved resection of the bladder, uterus, ovaries, and upper vagina en bloc and the formation of a "Miami Pouch" for continent ...
متن کاملRobotic Total Pelvic Exenteration with Laparoscopic Rectus Flap: Initial Experience
Total pelvic exenteration is a highly morbid procedure performed for locally advanced pelvic malignancies. We describe our experience with three patients who underwent robotic total pelvic exenteration with laparoscopic rectus flap and compare perioperative characteristics to our open experience. Demographic, tumor, operative, and perioperative factors were examined with descriptive statistics ...
متن کاملLong-term survival after total pelvic exenteration in a patient with recurrent cervical carcinoma: A case report
The management of recurrent cervical cancer depends mainly on previous treatment as well as on the site and extent of recurrence. Pelvic exenteration usually represents the only therapeutic approach with curative intent for women with central pelvic relapse who have previously received irradiation. In the present report, we share our experience regarding survival outcome in a patient with recur...
متن کاملPelvic 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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عنوان ژورنال:
دوره 8 شماره
صفحات -
تاریخ انتشار 2015