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- Title
The role of pelvic exenteration in locally advanced rectal malignancies.
- Authors
Daha, Claudiu; Marincaş, Marian; Burlănescu, Ion; Rotaru, Vlad; Cirimbei, Ciprian; Chitoran, Elena; Brătucu, Eugen
- Abstract
Despite efforts toward the early detection of rectal cancer, locally advanced primary colorectal cancer with involvement of adjacent pelvic organs is not uncommon. Pelvic exenterations represent major surgical procedures, having a mutilating character and for some patients with locally advanced rectal malignancies remain the only surgical curative or palliative treatment. The resectability of these tumors depends on the absence of lateral extension to the pelvic wall and iliac vessels or to sciatic foramen and also, on the absence of distant metastasis or paraaortic lymph node involvement. The study includes 11 the posterior pelvic exenterations performed for rectal malignancies in IOB (from a total of 106 pelvectomies), over a period of 9 years (2008-2016). Nine cases had radical intention and two were palliative. In 5 cases it was necessary the resection of the pelvic floor, and in two cases the resection of other extrapelvic organs.We mention the fact that two of the patients underwent posterior pelvic exenteration for two synchronous malignancies (cervical and rectal with vaginal invasion in one case, and ovarian and rectal cancer in the second one). The purpose of this paper is to evaluate the early and late results of the method. The perioperative mortality is low despite high postoperative morbidity. The overall survival of the patients operated with radical intent is comparable to that of data from the literature and better than other pelvic malignancies.
- Subjects
PELVIC exenteration; RECTAL cancer diagnosis
- Publication
Oncolog-Hematolog, 2017, Issue 39, p55
- ISSN
2066-8716
- Publication type
Abstract