Pelvic exenteration for advanced rectal carcinoma

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Pelvic exenteration for advanced rectal carcinoma.

Twelve patients with advanced rectal cancer and no evidence of extrapelvic metastases underwent pelvic exenteration. The operative mortality rate was 8.3 per cent. Determinate 3 and 5 year survival rates of 54 and 37 per cent were achieved. Criteria for the selection of patients and techniques of supravesical urinary diversion are discussed.

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Determinants of survival following pelvic exenteration for primary rectal cancer.

BACKGROUND Pelvic exenteration is a potentially curative treatment for locally advanced primary rectal cancer. Previous studies have been limited by small sample sizes and heterogeneous data. A consecutive series of patients was studied to identify the clinicopathological determinants of survival. METHODS All patients undergoing pelvic exenterative surgery for primary rectal cancer (1992-2014...

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Total pelvic exenteration for rectal cancer: outcomes and prognostic factors.

BACKGROUND To perform complete resection of locally advanced and recurrent rectal carcinoma, total pelvic exenteration (TPE) may be attempted. We identified disease-related outcomes and prognostic factors. METHODS We conducted a single-centre review of patients who underwent TPE for rectal carcinoma over a 10-year period. RESULTS We included 28 patients in our study. After a median follow-u...

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A fascia lata free flap in pelvic exenteration for Fournier gangrene due to advanced rectal cancer: a case report

BACKGROUND Fournier gangrene due to advanced rectal cancer is a rapidly progressive gangrene of the perineum and buttocks. Emergency surgical debridement of necrotic tissue is crucial, and secondary surgery to resect tumors is necessary for wound healing. However, pelvic exenteration damages the pelvic floor, increasing the likelihood of herniation of internal organs into the infectious wound. ...

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Total pelvic exenteration for the treatment of advanced primary or recurrent pelvic neoplasia.

INTRODUCTION Complete resection with clear margins in locally advanced pelvic visceral tumors, primary or recurrent, occasionally requires total pelvic exenteration (TPE). METHODS We reviewed the results of EFA in 34 consecutive patients operated on between June 2006 and December 2013. RESULTS Median age was 62 (40-82) years; 24 (70%) were male. The tumor origin most frequent was advanced p...

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ژورنال

عنوان ژورنال: The American Journal of Surgery

سال: 1979

ISSN: 0002-9610

DOI: 10.1016/0002-9610(79)90274-5