Pelvic Exenteration for Recurrent Pelvic Cancer

2009 ◽  
pp. 49-59
Author(s):  
Pamela Paley ◽  
Chirag Shah
2017 ◽  
Vol 2 (3) ◽  
pp. 258-261
Author(s):  
Marian Botoncea ◽  
Claudiu Molnar Varlam ◽  
Adrian Chiujdea ◽  
Călin Molnar

Abstract Background: Pelvic exenteration is an ultra-radical surgical procedure described by Brunschwig in 1948, which attempts to surgically cure patients with recurrent pelvic cancer after radiotherapy. Several variants of pelvic exenteration are described that allow a more limited or extensive resection, depending on the stage of the disease. Case report: We report the case of a 54-year-old woman, who was diagnosed with a tumoral rectovaginal fistula after a recurrent cervical cancer that had been treated with a total hysterectomy with bilateral adnexectomy and a left percutaneous nephrostomy, as well as interaortocaval lymph node resection. The patient had undergone a supralevator total pelvic exenteration with pelvic and interaortocaval lymphadenectomy. The reconstruction process included right ureterostomy, left nephrostomy, and colocutaneous anal anastomosis (Parks procedure). Conclusions: Supralevator total pelvic exenteration provides hope for cure in patients with pelvic malignancies that reappear after radiotherapy. The restoration of the digestive tract and avoiding colostomy with a colocutaneous anastomosis increases the quality of life in these cases.


Surgery Today ◽  
2016 ◽  
Vol 46 (12) ◽  
pp. 1471-1475 ◽  
Author(s):  
Yuji Miyamoto ◽  
Takahiko Akiyama ◽  
Yasuo Sakamoto ◽  
Ryuma Tokunaga ◽  
Mayuko Ohuchi ◽  
...  

2018 ◽  
Vol 88 (9) ◽  
pp. 896-900 ◽  
Author(s):  
Edwin J. Aslim ◽  
Min Hoe Chew ◽  
Ghee Kheng Chew ◽  
Lui Shiong Lee

2016 ◽  
Vol 59 (9) ◽  
pp. 831-835 ◽  
Author(s):  
Kirk K. S. Austin ◽  
Andrew J. Herd ◽  
Michael J. Solomon ◽  
Ken Ly ◽  
Peter J. Lee

2014 ◽  
Vol 57 (10) ◽  
pp. 1153-1161 ◽  
Author(s):  
Tony Milne ◽  
Michael J. Solomon ◽  
Peter Lee ◽  
Jane M. Young ◽  
Paul Stalley ◽  
...  

2017 ◽  
pp. 100-108
Author(s):  
V. N. Diomidova ◽  
O. A. Еfimova

The analysis of the diagnostic informativeness of modern radiodiagnosticis methods in determining metastatic lymph node of pelvic cancer gynecological organs according to domestic and foreign publications. At the present stage methods of obtaining visual images pelvic lymph nodes are radiodiagnostics technologies (radiological, ultrasound, magnetic resonance tomography, scintigraphic). The analysis has shown that the researches devoted to diagnostic informational content of modern methods of radiodiagnosis in a differentiation of nature of damage of pelvic lymph nodes aren't enough. According to the literature, the most rational and perspective method for radiodiagnosis metastatics lymph node is a magnetic resonance imaging due to the high information content and thus specificity. At the same time, the continued relevance of further study of methods of radiodiagnostics in order to find the optimal one for the assessment of pelvic lymph nodes.


Sign in / Sign up

Export Citation Format

Share Document