Complications and Outcome of Pelvic Exenteration in Thai Gynecologic Oncology Patients

Pelvic exenteration is a radical surgery which includes the en bloc resection of the pelvic organs and followed by surgical reconstruction (Hockel et al., 2006; Diver et al., 2012). The en bloc resection includes internal reproductive organs, rectosigmoid colon, urinary bladder and distal ureters. Pelvic exenteration is classified into 3 types; anterior pelvic exenteration, posterior pelvic exenteration and total pelvic exenteration. This procedure was first reported by Alexander Brunschwig (Brunschwig, 1948). The first case of pelvic exenteration was performed in order to palliate the advanced stage cancer patient. Nowadays, pelvic exenteration is performed in both curative and palliative intent. Role of palliative pelvic exenteration is still controversy because of high morbidity and mortality rate of the procedure (Guimaraes et al., 2011). In gynecologic cases, pelvic exenteration is normally performed in selected cases of recurrent cervical cancer and advanced pelvic cancer (Diver et al., 2012). This procedure is quite complicated which require multidisciplinary team approach; therefore, pelvic