Anterior pelvic exenteration and laterally extended pelvic resection: a step by step procedure

Daix, Manon; Ángeles, Martina Aida; Leray, Hélène; Vergriete, Kélig; Martinez, Alejandra; Ferron, Gwénaël

doi:10.1136/ijgc-2021-003047

Cited by 2 publications

(2 citation statements)

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“…In these cases, en bloc removal of the tumor is indicated, potentially including the pelvic floor muscles, major vessels, nerves, and possibly bone tissue. A negative margin can be achieved in up to 75% of cases [54]. Data on the oncologic outcomes associated with this technique have already been presented in the case selection section, as we believe that this is a criterion that should really be considered before surgery.…”

Section: Extended Resectionsmentioning

confidence: 95%

“…Extended resections may be indicated when the tumor has grown beyond the central region of the pelvis. Several studies have addressed this practice in recurrent or persistent pelvic and gynecologic tumors [54][55][56][57]. In these cases, en bloc removal of the tumor is indicated, potentially including the pelvic floor muscles, major vessels, nerves, and possibly bone tissue.…”

Section: Extended Resectionsmentioning

confidence: 99%

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The Role of Pelvic Exenteration in Cervical Cancer: A Review of the Literature

Ubinha,

Pedrão,

Tadini

et al. 2024

Cancers

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Pelvic exenteration represents a radical procedure aimed at achieving complete tumor resection with negative margins. Although it is the only therapeutic option for some cases of advanced tumors, it is associated with several perioperative complications. We believe that careful patient selection is related to better oncologic outcomes and lower complication rates. The objectives of this review are to identify the most current indications for this intervention, suggest criteria for case selection, evaluate recommendations for perioperative care, and review oncologic outcomes and potential associated complications. To this end, an analysis of English language articles in PubMed was performed, searching for topics such as the indication for pelvic exenteration for recurrent gynecologic neoplasms selection of oncologic cases, the impact of tumor size and extent on oncologic outcomes, preoperative and postoperative surgical management, surgical complications, and outcomes of overall survival and recurrence-free survival.

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Section: Extended Resectionsmentioning

confidence: 95%