About pelvic evisceration
Abstract
Non-organic tumors of the pelvic cavity (genital organs, bladder, rectum) are often found in a neglected state. Actuality. Such patients undergo chemotherapy and/or radiation, as standard radical surgical treatment is impossible. The aim of the study. It will increase the operability of patients with localized non-organic tumors of the pelvic cavity by a wider implementation of super-radical pelvic evisceration operations. Materials and methods. Datа of 14 patients who underwent pelvic evisceration were analyzed. Results and their discussion. The introduction of ultra-radical pelvic evisceration interventions made it possible to radically operate on "inoperable" patients according to the standards, a third of whom lived for more than 8 years, and 4 of them for more than 10 years (one woman - 17 years). Conclusions. Patients with a locally spread neglected tumor process without detected distant metastases and in a relatively good general condition should be considered operable under the conditions of application of ultra-radical interventions of pelvic evisceration.
Downloads
References
Appleby, L. H. (1950). Proctocystectomy: the management of colostomy with ureteral transplants. The American Journal of Surgery, 79, (1), 57–60.
Bogner, A., Fritzmann, J., Mussle, B., et al. (2021). Pelvic exenteration for colorectal and non-colorectal cancer: a comparison of perioperative and oncological outcome. International Journal of Colorectal Disease, 36(8), 1701–1710. https://doi.org/10.1007/s00384-021-03893-y
Bricker, E. M., & Eiseman, B. (1950). Bladder reconstruction from cecum and ascending colon following resection of pelvic viscera. Annals of Surgery, 132, (1), 77–84.
Bricker, E. M., & Modlin, J. (1951). The role of pelvic evisceration in Surgery. Surgery, 30, (1), 76–94.
Brinthall, E. S., & Flocks, R. H. (1950). En masse „pelvic viscerectomy“ with ureterointestinal anastomosis. The Archives of Surgery, 61, (5), 851–864.
Brunschwig, A. (1948). Operative gynecology: Complete excision of pelvic viscera for advanced carcinoma; a one-stage abdominoperineal operation with end colostomy and bilateral ureteral implantation into the colon above the colostomy. Cancer, 1, (2), 177–183.
Brunschhwig, A., & Daniel, W. (1956 ). Evaluation of pelvic exenteration for advanced cancer of the cervix. Surgery, Gynecology and Obstetrics, 103, (3), 337–341.
Chernyi, V. A., Kykot, V. A., Kononenko, N. H., & Holdshmyt, B. Ya. (1988). Evystseratsyia taza kak sposob povyshenyia rezektabelnosty zapushchennoho raka priamoi kyshky [Pelvic evisceration as a way to increase the resectability of advanced rectal cancer]. Voprosy onkolohyy [Issues of oncology], (2), 222–228 [In Russian]
Dedkov, Y. P., Zybina, M. A., & Kononenko, N. H. (1975). Kombinirovannyye operatsii po povodu raka pryamoy kishki. Demonstratsiya 2 bolnykh. podvergshikhsya evistseratsii taza. Protokol 783-go zasedaniya Nauchnogo obshchestva khirurgov Kiyeva i oblasti ot 02.10.1974 g. [Combined operations for rectal cancer. Demonstration of 2 patients. undergoing pelvic evisceration. Protocol of the 783rd meeting of the Scientific Society of Surgeons of Kyiv and the region dated 02.10.1974] Klinicheskaia khirurgiia [Clinical Surgery], (4), 91–92. [In Russian]
Dedkov, Y. P., Zybina, M. A., & Kononenko, N. H. (1976). Opyt primeneniya kombinirovannykh operativnykh vmeshatelstv pri rake pryamoy kishki [Experience in the use of combined surgical interventions for rectal cancer]. Klinicheskaia khirurgiia [Clinical Surgery], (2), 43–46. [In Russian]
Dedkov, Y. P., Zybina, M. A., Bialyk, V. V., & Kononenko, N. H. (1977). Evistseratsiya taza po povodu zapushchennogo raka pryamoy kishki (dva nablyudeniya) [Pelvic evisceration due to advanced rectal cancer (two cases)]. Voprosy onkolohyy [Issues of oncology], 23, (1), 90–95 [In Russian]
Hockel, M. (2006). Pelvice exenteration for gynaecological tumours: achievements and unanswered questions. Lancet Oncology. 7, (10), 837–847. https://doi.org/10.1016/S1470-2045(06)70903-2
Kononenko, M. H., Andriushchenko, V. V, Kolesnichenko, N. K., et al. (2015). 15 – richne sposterezhennia pislia evistseratsii tazu z pryvodu metakhronnoho raku [15-year follow-up after pelviс evisceration on metachronous carcinoma]. Kharkivska khirurhichna shkola [Kharkiv Surgical School]. 2(71), 131– 35. [In Ukrainian].
Kulu, Y., Mehrabi, A., Khajeh, E., et al. (2019). Promising long-term outcomes after pelvic exenteration. Annals of Surgical Oncology, 26, (5), 1340–1349. https://doi.org/10.1245/s10434-018-07090-0
Laporte, G. A., Zanini, L. A. G., Zanvettor, P. H., et al. (2020). Guidelines of the Brazilian Society of Oncologic Surgery for pelvic exenteration in the treatment of cervical cancer. Journal of Surgical Oncology, 121, (5), 718–729. https://doi.org/10.1002/jso.25759
Marnitz S., Köhler C., Müller M. et al. (2006). Indications for primary and secondary exenterations in patients with cervical cancel. Gynecologic Oncology, 103, (3), 1023–1030. https://doi.org/10.1016/j.ygyno.2006.06.027
Musina, A-M., Hutanu, J., Grigore, M. et al. (2019). Pelvic exenteration, a surgical treatment option for locally advanced, primary and recurrent neoplasia. Romanian Journal of Morphology and Embryology, 60, (4), 1175–1182. https://rjme.ro/archive/60/4/10
PelvEx Collaborative. (2018). Factors affecting outcomes following pelvic exenteration for locally recurrent rectal cancer. British Journal of Surgery, 105, (6), 650–657. https://doi.org/10.1002/bjs.10734
PelvEx Collaborative. (2019). Pelvic exenteration for advanced nonrectal pelvic malignancy. Annals of Surgery, 270, (5), 899–905. https://doi.org/10.1097/SLA.0000000000003533
Quyn, A. J., Solomon, M. J., Lee, P. M. et al. (2016). Palliative pelvic exenteration: clinical outcomes and quality of life. Diseases of the Colon & Rectum, 59, (11), 1005–1010. https://doi.org/10.1097/dcr.0000000000000679
Rutledge, F. N., & Burns, B. C. (1965). Pelvic exenteration. American Journal of Obstetrics and Gynecology, 91, (5), 692–708. PMID: 14266212
Schmitz, H. E., Schmitz, R. L., Smith, C. J., & Molitor, J. J. (1959). The technique of synchronous (two team) abdominoperineal pelvic exenteration. Surgery, gynecology & obstetrics, 108, (3), 351–356. PMID: 13635246
Solomon, M. J., Brown, K. G. M., Koh, C. E., et al. (2015). Lateral pelvic compartment excision during pelvic exenteration. British Journal of Surgery, 102, (13), 1710–1717. https://doi.org/10.1002/bjs.9915
Tuech, J. J., Schwarz, L., Coget, J., & Bridoux, V. (2015). Difficult hemostasis during radikal pelvic surgery. Journal of Visceral Surgery, 152, 119–124. https://doi.org/10.1016/j.jviscsurg.2015.01.004
Vasyliev, O. V., Kopetskyi, V. I., Kopchak, K. V., et al. (2018). Surgical treatment of tumoral pathology with affection of the main vessels of small pelvis. Klinicheskaia khirurgiia [Clinical Surgery], 85, (2), 32–34. [In Ukrainian]. https://doi.org/10.26779/2522-1396.2018.02.32
Venchiarutti, R. L., Solomon, M. J., Koh, C. E., et al. (2019). Pushing the boundaries of pelvic exenteration by maintaining survival at the cost of morbidity. British Journal of Surgery, 106, (10), 1393–1403. https://doi.org/10.1002/bjs.11203
Abstract views: 30 PDF Downloads: 62

This work is licensed under a Creative Commons Attribution 4.0 International License.