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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References
- Complications and survival after total pelvic exenteration.Eur J Surg Oncol. 2022;
- 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
Article info
Publication history
Published online: September 03, 2022
Accepted:
August 24,
2022
Received:
August 7,
2022
Identification
Copyright
© 2022 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.
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- Complications and survival after total pelvic exenterationEuropean Journal of Surgical OncologyVol. 48Issue 6Open Access
- Reply to “Why perform pelvic exenterations when cure is not an option?”European Journal of Surgical OncologyVol. 49Issue 1
- PreviewWe agree that the pelvic exenteration procedure is a large complex procedure with a large perioperative morbidity. In our cohort 34.4% of the patients experienced major complications. Many could be handled radiologically or medically. It does not, however, change the fact that patients should be selected carefully for this procedure.
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