LAPAROSCOPIC PELVIC EXENTERATION FOR RECURRENT OR COMPLICATED PELVIC TUMORS: OUR TECHNIQUE AND COMPLICATIONS

Multivisceral Resection of Advanced Pelvic Tumors: From Planning to Implementation

Clinics in Colon and Rectal Surgery ◽

10.1055/s-0040-1713744 ◽

2020 ◽

Vol 33 (05) ◽

pp. 268-278

Author(s):

R. Mirnezami ◽

A. Mirnezami

Keyword(s):

Pelvic Exenteration ◽

Tumor Staging ◽

Locally Advanced ◽

Surgical Techniques ◽

Multivisceral Resection ◽

Current State ◽

Pelvic Tumors ◽

Patient Optimization ◽

Exenterative Surgery

AbstractPelvic exenteration involves radical multivisceral resection for locally advanced and recurrent pelvic tumors. Advances in tumor staging, oncological therapies, preoperative patient optimization, surgical techniques, and critical care medicine have permitted the safe expansion of pelvic exenterative surgery at specialist units. It is now understood that in carefully selected patients, 5-year survival can exceed 60% following pelvic exenteration, and that very low mortality figures and an optimum postexenteration quality of life are possible. In the present review, we provide a contemporary summary of the current state of the art in pelvic exenterative surgery following all key phases of the treatment pipeline from patient staging and tumor assessment, to treatment planning and surgery.

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LAPAROSCOPIC PELVIC EXENTERATION FOR RECURRENT OR COMPLICATED PELVIC TUMORS: ANALYSIS OF TECHNIQUE AND POSTOPERATIVE OUTCOMES

10.26226/morressier.599bdc79d462b80296ca0afc ◽

2017 ◽

Author(s):

Dmitry Golub

Keyword(s):

Pelvic Exenteration ◽

Postoperative Outcomes ◽

Pelvic Tumors ◽

Analysis Of Technique

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LAPAROSCOPIC PELVIC EVISCERATION IN MALE AND FEMALE PATIENTS

Surgical Practice ◽

10.38181/2223-2427-2020-1-15-23 ◽

2020 ◽

pp. 15-23

Author(s):

E. A. Galliamov ◽

M. A. Agapov ◽

R. G. Biktimirov ◽

V. P. Sergeev ◽

A. E. Sanzharov ◽

...

Keyword(s):

Postoperative Complications ◽

Blood Loss ◽

Pelvic Exenteration ◽

Locally Advanced ◽

Pain Syndrome ◽

Surgical Oncology ◽

Complex Problem ◽

Pelvic Tumors ◽

Resection Line

Abstract: treatment of patients with primary and recurrent locally advanced pelvic tumors represents an extremely complex problem of surgical oncology.Aim: to evaluate perioperative and long-term postoperative results of laparoscopic pelvic exenteration technique.Material and methods: in the period from 2011 to 2018, 21 pelvic exenteration was performed with laparoscopic access, (mean age 59.79 ± 8.5), sex distribution: 17 women and 4 men. Nosology distribution: in 6 patients cervical cancer was verified, 7 patients had bladder cancer, 4 patients had rectal cancer, 1 patient had vaginal cancer, 2 patients had recurrence of vaginal cancers after previous uterine extirpation and 1 patient with ovarian neoplasm.Results: the volume of the exenteration was as follows: 9 total, 7 anterior and 5 posterior. In all cases, it was possible to achieve a negative margin of resection line (R0). The duration of the operation, the volume of blood loss, the frequency and nature of intra- and postoperative complications were evaluated.Conclusion: laparoscopic access is accompanied by a smaller amount of blood loss, decrease of frequency of early postoperative complications, contributes to more comfortable postoperative period with early activation, less severe pain syndrome and leads to a reduction in the duration of inpatient treatment.

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