Exenterative pelvic surgery--eleven year experience of the Swansea Pelvic Oncology Group.


AIMS To review indications for surgery and outcomes of patients with complex locally advanced pelvic malignancies treated by a multidisciplinary Pelvic Oncology Group. PATIENTS AND METHODS Between March 1992 and March 2003, 130 patients were jointly assessed in a monthly clinic involving urological, gynaecological, colorectal and plastic surgeons, an oncologist and nurse specialists. Seventy-six patients proceeded to exenterative surgery. RESULTS Rectal carcinoma and gynaecological cancers were the two most common indications for surgery. Median follow-up was 14 months (range 1-120 months). There were no deaths within 30 days of surgery. The morbidity rate was 28%. Predicted 5 years survival was 53% in cases with clear histological margins and no lymph node metastasis. CONCLUSION With careful patient selection and multi specialty care pelvic exenteration is a safe and effective option in the treatment of complex locally advanced pelvic malignancy.

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@article{Nguyen2005ExenterativePS, title={Exenterative pelvic surgery--eleven year experience of the Swansea Pelvic Oncology Group.}, author={Dai Nguyen and Alan D. McGregor and Omar Freites and Nicholas D Carr and John Beynon and Awatef M el-Sharkawi and Marsha G Lucas}, journal={European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology}, year={2005}, volume={31 10}, pages={1180-4} }