Pelvic exenteration for locally advanced and recurrent rectal cancer-how much more?
Pelvic exenteration (PE)
recurrent rectal cancer
sacrectomy
Journal
Journal of gastrointestinal oncology
ISSN: 2078-6891
Titre abrégé: J Gastrointest Oncol
Pays: China
ID NLM: 101557751
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
entrez:
18
1
2020
pubmed:
18
1
2020
medline:
18
1
2020
Statut:
ppublish
Résumé
There have been significant advances in the surgical management of locally advanced and recurrent rectal cancer in recent decades. Patient with advanced pelvic tumours involving adjacent organs and neurovascular structures, beyond the traditional mesorectal planes, who would have traditionally been considered irresectable at many centres, now undergo surgery routinely at specialised units. While high rates of morbidity and mortality were reported by the pioneers of pelvic exenteration (PE) in early literature, this is now considered historical data. In 2019, patients who undergo PE for advanced or recurrent rectal cancer can expect reasonable rates of long-term survival (up to 60% at 5 years) and acceptable morbidity and quality of life. This article describes the surgical techniques that have been developed for radical multivisceral pelvic resections and reviews contemporary outcomes.
Identifiants
pubmed: 31949941
doi: 10.21037/jgo.2019.01.21
pii: jgo-10-06-1207
pmc: PMC6954998
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
1207-1214Informations de copyright
2019 Journal of Gastrointestinal Oncology. All rights reserved.
Déclaration de conflit d'intérêts
Conflicts of Interest: The authors have no conflicts of interest to declare.
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