Why perform pelvic exenteration when cure is not an option?

  • Peter C. Ambe
    Corresponding author. Department of General, Visceral and Colorectal Surgery, GFO Kliniken Rhein Berg, Germany.
    Department of Medicine, Witten/Herdecke Univesity, Witten, Germany
    Department of General, Visceral and Colorectal Surgery, GFO Kliniken Rhein Berg, Germany
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Published:September 03, 2022DOI:
      Pelvic exenteration represents a maximally radical procedure for the management of pelvic malignancies. Because the risk of morbidity following pelvic exenteration is very high, this procedure in my opinion should be reserved for patients being management with a curative intension. The benefit of this extensive and partly disfiguring surgery, i.e. potential cure of a malignant disease must be weighed against the risk of complications.
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        • Nielsen C.K.P.
        • Sørensen M.M.
        • Christensen H.K.
        • Funder J.A.
        Complications and survival after total pelvic exenteration.
        Eur J Surg Oncol. 2022;
        • Collaborative P.
        • Kelly M.
        • Aalbers A.
        • Abdul Aziz N.
        • Abecasis N.
        • Abraham-Nordling M.
        • et al.
        Simultaneous pelvic exenteration and liver resection for primary rectal cancer with synchronous liver metastases: results from the PelvEx Collaborative.
        Colorectal Dis. 2020; 22: 1258-1262

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