Pelvic Exenteration for Advanced and Recurrent Malignancy

Abstract

Multivisceral pelvic surgery is possible with acceptable morbidity and QoL. Thorough patient selection and multimodal therapy are necessary to attain maximum benefit.

Characteristics of Gynecologic Oncology Patients in King Chulalongkorn Memorial Hospital - Complications and Outcome of Pelvic Exenteration

“…The patients whose margin was negative had longer survival than whose margin positive. Our finding correlated with the previous studies which found that surgical margin status was important risk factors to predict recurrence of the disease (Park et al, 2007;Zoucas et al, 2010). Park et al (2007) reviewed pelvic exenteration cases in an institute in Korea.…”

Layer-oriented total pelvic exenteration for locally advanced primary colorectal cancer

“…The perioperative mortality following TPE has decreased from as high as 20 % before 2000 [9,10] to less than 5 % in recently reported case series [7,11,12]. In the present series, one operative death was noted in the earlier period, but there Fig.…”

“…Among the 13 cases whose diverting stomas were successfully taken down, the median Jeorge-Wexner incontinence score [5] at 1-year post operation was 8 [4][5][6][7][8][9][10][11][12][13][14], which was no worse than that of very low anterior resection. Among the 18 cases that underwent neobladder reconstruction, 15 cases voided urine spontaneously with a post-void volume less than 50 mL.…”

Blood Loss and Massive Transfusion in Patients Undergoing Major Oncological Surgery: What Do We Know?

“…TPEs are associated with significant perioperative morbidity (38.4%-70%) and a reported mortality rate lower than 5% in recent publications [47,48,[93][94][95][96][97][98].…”