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Pelvic Exenteration (0):
Recent article
Pelvic Exenteration
Urologia Internationalis (85)1 2010
Abstract
Treatment options in patients with persistent or locally recurrent cervical cancer are limited. The aim of this study was to determine the chance of cure and associated morbidity following pelvic exenteration.
Consecutive patients who underwent pelvic exenteration between January 1992 and December 2...
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PMID: 20299775
PDF is available here.
PDF is available here.
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Journal of Surgical Oncology (101)8 2010
Abstract
Although the incidence of locally recurrent colorectal cancer has been reduced by improved surgical techniques and the frequent use of multimodality therapy, pelvic recurrence remains a significant problem. Radiation or chemotherapy may provide palliation but it is often short-lived. For fit candida...
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PMID: 20512940
PDF is available here.
PDF is available here.
Abstract
We present 2 patients successfully treated with robotic-assisted anterior pelvic exenteration for treatment of persistent or recurrent cervical cancer after definitive radiotherapy.
Copyright 2010 Mosby, Inc. All rights reserved....
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PMID: 20510970
PDF is available here.
PDF is available here.
Abstract
The study comprised 41 patients. The underlying disease was a malignant pelvic tumor in 30 patients (primary in 6 and recurrent in 24 patients) and a nonmalignant disease in 11 patients. Surgical mortality was 2.4%, and the postoperative morbidity rate was 65.9%. Double-barreled wet colostomy-relate...
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PMID: 20389218
PDF is available here.
PDF is available here.
Abstract
We diagnosed pelvic tumor, bladder cancer (adenocarcinoma) and sigmoid colon cancer. We performed a first operation, but the pelvic tumor was firmly fixed anterior to the sacrum and right common pelvic artery. We judged it unresectable and performed tumor biopsy and ileostomy. The pathological findi...
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PMID: 20154496
PDF is available here.
PDF is available here.
Abstract
We analyzed retrospectively the outcome of 15 patients treated with pelvic exenteration (nine total and six anterior) for gynecological cancer (six vaginal, four endometrial, three cervical, one vulvar, and one ovarian) from 1987 through 2008. Four operations were for primary tumors and 11 for recur...
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PMID: 19916881
PDF is available here.
PDF is available here.
International surgery (95)2 2010
Abstract
Vaginal melanoma (VM) is a rare disease comprising <1% of all melanomas among women, and about 3% of all vaginal malignancies. Patients experience a poor prognosis, showing <15% 5-year survival. The report concerns two premenopausal patients with VM treated by surgery with radical intent. The first...
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PMID: 20718317
PDF is available here.
PDF is available here.
Abstract
We report a case of advanced stage primary mucinous adenocarcinoma of the vagina that showed a highly aggressive course and resistance to combination chemotherapy with paclitaxel and carboplatin.
A 46-year-old multigravid Japanese woman was admitted to our hospital to be treated for...
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PMID: 21319516
PDF is available here.
PDF is available here.
Abstract
We describe a novel reconstruction technique of the pelvic floor, involving a combination of an oblique rectus abdominis myocutaneous flap and a synthetic absorbable mesh as a pelvic sling for additional support, in a 63-year-old female patient with recurrent vulvar carcinoma. Combining the use of m...
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PMID: 20527241
PDF is available here.
PDF is available here.
Abstract
The pedicled anterolateral thigh-vastus lateralis flap is a good alternative for reconstruction of large pelvic exenteration defects when the rectus abdominis flap is unavailable. Obese patients with short thighs may not be good candidates for this procedure....
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PMID: 19935301
PDF is available here.
PDF is available here.
Aktuelle Urologie (40)04 2009
Abstract
American Surgeon (75)5 2009
Abstract
Abstract
It is technically feasible to incorporate the creation of the Miami continent urinary pouch through a minilaparotomy during laparoscopic pelvic exenteration without compromising the benefits of laparoscopic surgery....
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PMID: 19407576
PDF is available here.
PDF is available here.
Abstract
In our experience, the robotic anterior exenteration has been readily adapted to the surgical treatment of bladder cancer with similar outcomes to those observed in male patients undergoing a robotic radical cystoprostatectomy. The approach appears to achieve the clinical and oncologic goals of radi...
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PMID: 18976147
PDF is available here.
PDF is available here.
Abstract
the survival rate was 64.3%. No particular factor associated to poor prognosis has been found in the present series of cases....
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PMID: 19347225
PDF is available here.
PDF is available here.
Abstract
We report such an event in a patient submitted to pelvic exenteration, and discuss its diagnosis and management....
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PMID: 19961121
PDF is available here.
PDF is available here.
Hepato-gastroenterology (56)91-92 2009
Abstract
Curative resection was effective in rectal cancer patients with visceral recurrence. Novel systemic chemical radiotherapy should be considered for patients with parietal recurrence....
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PMID: 19621677
PDF is available here.
PDF is available here.
Hepato-gastroenterology (56)96 2009
Abstract
When curative resection is achieved, total pelvic exenteration for colorectal cancer can result in long-term survival....
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PMID: 20214208
PDF is available here.
PDF is available here.
Abstract
A 57-year-old male with a history of right renal cell carcinoma was diagnosed with prostate carcinoma associated with a high PSA level (5.2 ng/ml). Histological examination of the resected prostate specimen obtained by radical prostatectomy revealed well differentiated adenocarcinoma, Gleason score...
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PMID: 19227212
PDF is available here.
PDF is available here.
Srpski arhiv za celokupno lekarstvo (136 Suppl 3) 2008
Abstract
We describe our experience in the use of recombinant activated factor VII (rFVIIa) in three previously hemostatically competent patients who underwent exentheresis in order to control massive bleeding resulting from dilution coagulopathy in the operating theatre, as well as in the treatment of posto...
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PMID: 19562875
PDF is available here.
PDF is available here.
Gynecologic Oncology (110)2 2008
Abstract
Journal of Urology (180)1 2008
Abstract
In our experience double-barreled wet colostomy has an acceptable morbidity and mortality rate, is performed without technical difficulties and does not require prolonged operative time. Double-barreled wet colostomy represents the procedure of choice in patients who require concurrent urinary and f...
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PMID: 18499187
PDF is available here.
PDF is available here.
Abstract
The mean age of the patients was 53.5 (range 10-77) years and the most common diagnosis was ovarian cancer (77.9 per cent). The mean operating time was 453 (range 145-845) min and the mean blood loss was 1080 (range 110-10 500) ml; 95 patients (65.5 per cent) required a blood transfusion. Of the 145...
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PMID: 18418859
PDF is available here.
PDF is available here.
Abstract
In the PPE group, pathological reports showed direct invasion of the reproductive organs in 4 cases and an involvement of lymph nodes in 7 cases. A sphincter-saving operation was performed in each case. Operative time was longer (274 min vs 157 min, P < 0.001) and blood loss was greater (769 mL vs 2...
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PMID: 18416472
PDF is available here.
PDF is available here.
Abstract
Surgery Today (38)3 2008
Abstract
A 54-year-old man, with the chief complaints of hematuria, pollakisuria, and pneumaturia, was referred to our hospital, with a diagnosis of giant urinary bladder adenocarcinoma with massive invasion to the rectum. On the basis of the radiological diagnosis and findings of hematoxylin and eosin (H&E)...
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PMID: 18307003
PDF is available here.
PDF is available here.
Abstract
There were 34 patients with standard lymph node dissection and 43 with en bloc lymphadenectomy (anterior pelvic exenteration). Age, sex, duration of the disease, number of transurethral resections prior to cystectomy, pathological grade at cystectomy, and stage of the primary tumor were comparable i...
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PMID: 18592461
PDF is available here.
PDF is available here.
Abstract
We reviewed the records of all 14 patients with recurrent uterine and cervical cancer who had extended pelvic resections at our institution between June 2000 and November 2006. Primary sites of disease were the uterus (11 patients) and cervix (3 patients). Tumor histology was as follows: adenocarcin...
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PMID: 18053063
PDF is available here.
PDF is available here.
Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru (28)2 2008
Abstract
We present a case of locally advance rectal cancer that was formerly submitted to a posterior radical pelvic exenteration that received postoperative chemoradiation, followed by a laparoscopic Hartmann reversal without any complications....
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PMID: 18641784
PDF is available here.
PDF is available here.
Bratislavske lekarske listy (109)10 2008
Abstract
Pelvic exenteration is an option in the treatment of persistent or recurrent cervical carcinomas confined to the central pelvis. The improvement of laparoscopic techniques and equipment in combination with broader experience of surgeons in laparoscopy made laparoscopic pelvic exenteration possible....
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PMID: 19166135
PDF is available here.
PDF is available here.
Journal of Clinical Oncology (25)36 2007
Abstract
Gynecologic Oncology (107)3 2007
Abstract
We describe an effective technique to reconstruct the pelvic floor and perineum with HADM and thigh-based flaps following pelvic exenteration and radical vulvectomy. CASE: A 75-year-old woman underwent radical resection of the pelvic floor and perineum to treat recurrent vulvar squamous cell carcino...
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PMID: 17919700
PDF is available here.
PDF is available here.
Gynecologic Oncology (107)2 2007
Abstract
Between February 2000 and March 2006, an ileocolonic urinary diversion (Rome pouch) was carried out in 35 patients affected by advanced or recurrent gynecologic malignancies. The average operative time to complete the anterior and total exenteration including reconstruction procedure was 285 (range,...
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PMID: 17689594
PDF is available here.
PDF is available here.
Gynecologic Oncology (107)2 2007
Abstract
Urodynamics performed 12 months postoperatively showed that the mean maximum reservoir capacity was 439.9+/-58.9 cm H(2)O. The mean reservoir pressure at maximum capacity was 19.2+/-8.4 cm H(2)O (no contractive wave during the filling in any patient). The mean maximum closure pressure in the efferen...
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PMID: 17692906
PDF is available here.
PDF is available here.
Abstract
A pelvic exenteration was performed in 14 patients for primary and 28 patients for recurrent gynaecological cancers. In-hospital complications occurred in 19 patients (45%) of whom seven patients needed a reoperation (17%). Late complications occurred in 31 patients (75%); 21 reinterventions were pe...
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PMID: 16950559
PDF is available here.
PDF is available here.
Gynecologic Oncology (106)1 2007
Abstract
Between 1998 and 2002 a total of 27 pts were enrolled on the study. Seven patients did not complete all study requirements and are excluded from further analysis. All pts had undergone prior pelvic radiation therapy and five patients had also received chemotherapy. CT/MRI scans identified three pati...
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PMID: 17477959
PDF is available here.
PDF is available here.
Abstract
We experienced a case of the well leg compartment syndrome (WLCS) during total pelvic exenteration in a 54-year-old woman. She was placed in the head down-lithotomy position and her both lower legs were attached with elastic stocking and intermittent pneumatic compression for prevention of deep vein...
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PMID: 17571612
PDF is available here.
PDF is available here.
Abstract
The complication rates for pelvic exenteration remain high, but the morbidity can typically be managed without a clinically important increase in hospitalization. In primary LARC, an aggressive surgical approach provides most patients 5-year DFS. Select patients with recurrent LARC will also benefit...
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PMID: 17406945
PDF is available here.
PDF is available here.
Abstract
Mean age was 55 (22-77) years. PE was performed for locally advanced (36%) or recurrent (64%) cervical (n = 133), endometrial (n = 26), vaginal (n = 23), vulvar (n = 10), and ovarian cancer (n = 11, cases with rectum and/or bladder resections). In 13.4% (n = 26) the intent of the procedure was palli...
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PMID: 17192947
PDF is available here.
PDF is available here.
Abstract
Abstract
The mainstay of treatment of vaginal sarcomas is surgical. Neoadjuvant radiation treatment may decrease surgical morbidity and lead to long-term cure....
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PMID: 17415115
PDF is available here.
PDF is available here.
Abstract
Aims
Describe a new approach for pelvic floor treatment employing a temporary mechanical support device with silicone expander, with or without association to cecal transposition.
Methods
From January 2000 to June 2006, 106 patients were submitted to pelvic exenteration. A retrospective evaluatio...
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PMID: 17360143
PDF is available here.
PDF is available here.
Abstract
Abstract
Radical cystectomy has become a standard and arguably the best definitive form of therapy for high-grade, invasive bladder cancer. Lower urinary tract reconstruction, particularly orthotopic diversion, has been a major component in enhancing the quality of life of patients requiring cystectomy. As w...
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PMID: 17431372
PDF is available here.
PDF is available here.
Gynecologic Oncology (104)2 Suppl 1 2007
Extended pelvic resection of iliacus muscle and femoral nerve for isolated recurrent uterine cancer.
Abstract
Gynecologic Oncology (104)2 Suppl 1 2007
Abstract
Abstract
Total pelvic exenteration (TPE) is a radical and aggressive procedure performed in the local advanced pelvic cancer started from any pelvic organ. The experience of 73 TPE performed for local invasive cancer and centro-pelvic recurrences with initial malignancy at the cervix (45 cases), rectum (19 c...
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PMID: 17615915
PDF is available here.
PDF is available here.
Abstract
We found that complications related to total pelvic exenteration dramatically decreased and primary healing of the perineal wound was superior, facts that correlate with the literature data....
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PMID: 17966934
PDF is available here.
PDF is available here.
Abstract
Resection of anterior vaginal wall that occurs with some cases of anterior pelvic exenteration leaves the patient with a small and narrow vagina. This affects their sexual life leading to major psychologic problems, especially in young women. The aim of this study is to evaluate a new technique of v...
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PMID: 17362327
PDF is available here.
PDF is available here.
Abstract
ASR is beneficial to selected patients in terms of survival. To select patients, evaluation of the resection margin, the local disease-free interval, pain extent, and macroscopic growth pattern is important. To improve survival, adjuvant treatment should be aimed at local and lung recurrences....
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PMID: 17061173
PDF is available here.
PDF is available here.
Abstract
We reviewed the records of patients who underwent TPE for recurrent cervical cancer between June 1992 and December 2003 and subsequently developed recurrent disease. Thirty-seven patients underwent TPE during the study period, and 25 (68%) subsequently developed recurrence proven by radiographic and...
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PMID: 17291244
PDF is available here.
PDF is available here.
Abstract
Local recurrence (LR) after curative surgery for rectal cancer occurs in 4 to 33% of cases especially if surgery is sub-optimal (without total excision of the mesorectum). In many cases, diagnosis of LR is made at a late stage because of the high rate of asymptomatic patients, 56% in the experience...
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PMID: 17273131
PDF is available here.
PDF is available here.
Abstract
Mean time of the procedure was 6.5 hours with peroperative bleeding less than 500 cm3. Four patients presented minor complications. No revision of the Miami pouch was necessary. Mean length of hospital stay was 27 days. The four patients with a Miami pouch were able to self catheterize at the time o...
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PMID: 17134933
PDF is available here.
PDF is available here.
Annals of Surgical Oncology (13)12 2006
Abstract
All patients underwent surgery. Mortality rate was 13%. Fourteen patients (93%) had history of radiotherapy. No PSF was noted after anterior pelvic exenteration. Higher frequency of PSF was noted after total pelvic exenteration versus posterior pelvic exenteration (P = 0.04). Early PSF occurred in f...
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PMID: 16983591
PDF is available here.
PDF is available here.
Annales de Chirurgie (131)10 2006
Abstract
Résumé
But de l'étude
Le traitement des récidives locorégionales des cancers du rectum (RLR) reste difficile et controversé. Le but de cette étude était d'évaluer rétrospectivement le résultat d'une attitude univoque consistant à enlever la RLR a priori résécable par des exérèses v...
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PMID: 17010929
PDF is available here.
PDF is available here.
Gynecologic Oncology (103)3 2006
Abstract
The overall cumulative survival of all patients after exenteration was 36.8% at 5 years with 52.5% in the primary group and 26.7% in the recurrent one (p=0.0472). Complications were noted in 56.9% of patients, most commonly fistulas or gastrointestinal complications. Operative mortality was 5.5%. Su...
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PMID: 16890276
PDF is available here.
PDF is available here.
Gynecologic Oncology (103)3 2006
Abstract
Patients requiring extensive upper abdominal procedures to achieve optimal cytoreduction demonstrated a similar initial response, progression-free survival, and overall survival to patients optimally cytoreduced by standard surgical techniques. The presence of bulky upper abdominal disease alone did...
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PMID: 16890277
PDF is available here.
PDF is available here.
Abstract
Aims
To report the role of total pelvic exenteration in a series of locally advanced and recurrent rectal cancers.
Methods
In the period 1994–2004, TPE was performed in 35 of 296 patients with primary locally advanced and recurrent rectal cancer treated in the Daniel den Hoed Cancer Center; 23...
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PMID: 17071043
PDF is available here.
PDF is available here.
Abstract
Vaginal defects from oncologic resection present a complex array of reconstructive challenges. Increased use of adjuvant radiation and chemotherapy demands uncomplicated wound healing. As patients are being diagnosed at earlier stages of disease and at younger ages, maintenance of sexual function an...
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PMID: 17061272
PDF is available here.
PDF is available here.
British Journal of Surgery (93)11 2006
Abstract