TOTAL PELVIC EXENTERATION -A REVIEW OF CASES
Abstract
Pelvic exenteration is one of the major
surgery during which all contents of pelvic
cavity are removed. Total pelvic exenteration
is indicated in patients with advanced
stage rectal carcinoma and carcinoma
cervix and in cases of local recurrence
of rectal cancer, recurrent carcinoma
cervix after radiotherapy in tumour
advanced into bladder or into other pelvic
organs but disease confined to pelvis.
Total pelvic exenteration can be curative,
often is palliative for similar lesions that
are recurrent or non responsive to radiotherapy.
Although improvement in preoperative
management and operative technique,
especially with urinary conduits
and postoperative care is clear, both
early and late complications are significant.
Unfortunately preoperative identification
of those patients requiring Total
pelvic exenteration rather than abdominoperineal
or low anterior resection remains
poor. Here we discuss about the
three cases of
Total pelvic exenteration operated for locally
advanced pelvic cancers.
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Atlas of extreme surgery By BARRON
H. LERNER, New York Times, August
, 2011
Berman L, Aversa J, Abir F, Longo
WE (July 2005).Management of disorders
of the posterior pelvic flloorYale J
Biol Med 78 (4): 211–21.PMD
.PMID 16720016.
med/3332 at eMedicine
Devita principle&practice of oncology
th edition.
Novaks text book of gynaecology.
Telinde text book of gynaecology.
Eur J surg oncology 2007 May;33
(4):452-
Epub 2006 Oct 30. World j surg 2009
Jul;33(7):1502-8.Ferenschild FT, vermaas
M, Verhoef C, Ansink AC, Kirkels
WJ, Eggermont AM, de Wilt JDepartment
of Surgical Oncology, Erasmus
MC-Daniel den Hoed Cancer Center,
Rotterdam, The Netherlands.
Wanebo HJ, Koness RJ, Vezeridis
MP, et al.: Pelvic resection of recurrent
rectal cancer. Ann Surg 220 (4): 586-95;
discussion 595-7, 1994.
Wong CS, Cummings BJ, Brierley
JD, et al.: Treatment of locally recurrent
rectal carcinoma--results and prognostic
factors. Int J Radiat Oncol Biol Phys 40
(2): 427-35, 1998.
Cancer research UK .bowel cancer
incidence.cancer research 2009 ,http://
info.cancerresearchuk.org/
cancerstats/types/bowel/incidence/
#surce1.
A. Brunschwig, “Complete excision
of pelvic viscera for advanced
carcinoma; a one-stage abdominoperineal
operation with end colostomy
and bilateral ureteral implantation
into the colon above the colostomy,”
Cancer, vol. 1, no. 2, pp. 177–183,
C. J. Gannon, J. S. Zager, G. J.
Chang et al., “Pelvic exenteration affords
safer and durable treatment for
locally advanced rectal cancer,” Annals
of Surgical Oncology, vol. 14,
no. 6, pp. 1870–1877, 2007.
J. R. Karlen, G. B. Williams, and
J. L. Summers, “The multidisciplinary
team approach to exenteration of the
pelvis,” Surgery Gynecology and Obstetrics,
vol. 156, no. 6, pp. 789–794,
D. A. Harris, M. Davies, M. G. Lucas,
P. Drew, N. D. Carr, and J. Beynon,
“Multivisceral resection for locally
advanced cancer: analysis of
prognostic factors,” British Journal of
Surgery, vol. 98, no. 4, pp. 582–588,
M. A. Rodriguez-Bigas and N. J.
Petrelli, “Pelvic exenteration and its
modifications,” American Journal of
Surgery, vol. 171, no. 2, pp. 293–
, 1996.
N. J. Sanfilippo, C. H. Crane, J.
Skibber et al., “T4 resectable cancer
treatment with preop chemoradiation
to the posterior pelvis followed by
multivisceral resection: patterns of
failure and limitations of
treatment” International Journal of Radiation
Oncology Biology Physics, vol.
, no. 1, pp. 176–183, 2001.
H. G. Moore, M. Shoup, E. Riedel et
al., “Colorectal cancer pelvic recurrences:
determinants of resectability”
Diseases of the Colon and Rectum, vol.
, no. 10, pp. 1599–1606, 2004.
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