Total pelvic exenteration for locally advanced colorectal carcinoma

@article{Shtrouzu1996TotalPE,
  title={Total pelvic exenteration for locally advanced colorectal carcinoma},
  author={K. Shtrouzu and H. Isomoto and T. Kakegawa},
  journal={British Journal of Surgery},
  year={1996},
  volume={83}
}
Twenty‐six patients who underwent total pelvic exenteration for locally advanced colorectal cancer were studied retrospectively. The operative mortality rate was 8 per cent (two deaths). In patients with stage II primary disease the recurrence rate after curative surgery was three of seven, although the mean survival time was 58 months and the 5‐year survival rate 71 per cent. Patients with stage III primary disease had a shorter mean survival time regardless of supposed curability (curative 14… Expand
Total Pelvic Exenteration for Primary Local Advanced Colorectal Cancer
TLDR
It is shown that TPE can be performed with relatively low operative mortality and acceptable morbidity and satisfactory outcomes for a primary locally advanced colorectal cancer can be achieved, especially at the earlier stages. Expand
Total pelvic exenteration with preoperative irradiation for advanced primary and recurrent rectal cancer.
TLDR
Some patients with advanced rectal cancer either primary or recurrent may benefit from simultaneous en-bloc cystectomy and the need for well-defined indications for this procedure and the necessity for thorough preoperative staging is indicated. Expand
Total pelvic exenteration for locally advanced rectal cancer.
TLDR
Better selection of patients for this procedure is suggested, especially as a treatment for recurrent rectal cancer, which can be performed with low mortality rates, but the morbidity remains high. Expand
Total pelvic exenteration for primary locally advanced and recurrent rectal cancer
TLDR
TPE in primary locally advanced rectal cancer enables good local control and acceptable overall survival, thereby justifying the use of the procedure. Expand
Total pelvic exenteration for primary locally advanced and locally recurrent rectal cancer.
  • M. Vermaas, F. Ferenschild, +6 authors J. D. de Wilt
  • Medicine
  • European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
  • 2007
TLDR
TPE in primary locally advanced rectal cancer enables good local control and acceptable overall survival, thereby justifying the use of the procedure. Expand
Results from pelvic exenteration for locally advanced colorectal cancer with lymph node metastases
TLDR
Long-term survival was afforded by pelvic exenteration for locally advanced colorectal cancer with nodal metastases, because this issue remains controversial. Expand
Outcome of Total Pelvic Exenteration for Primary Rectal Cancer
TLDR
Total pelvic exenteration may enable long-term survival in younger patients with stage T3 or T4 primary rectal cancer and little or no lymph node metastasis, as identified by a retrospective study. Expand
Contemporary outcomes of total pelvic exenteration in the treatment of colorectal cancer
TLDR
Total pelvic exenteration can be performed safely in highly selected patients with colorectal cancer and can result in significantly prolonged survival, and less satisfactory outcomes are observed in patients whose indication for pelvic exEnteration is recurrent coloreCTal cancer after abdominoperineal resection. Expand
Pelvic exenterative procedures for locally advanced or recurrent colorectal carcinoma in a community hospital
TLDR
Pelvic exenterative procedures can be offered to patients with bulky or recurrent colorectal carcinomas with adequate results and satisfactory palliation, even in a community setting. Expand
Pelvic exenteration for advanced pelvic malignancy.
TLDR
The operative details of exenteration are presented, as are two surgical approaches to composite resection of pelvic structures in continuity with sacrectomy, which make the procedure a viable option for patients with otherwise incurable pelvic malignancy. Expand
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References

SHOWING 1-10 OF 19 REFERENCES
Pelvic Exenteration for Locally Advanced Colorectal Carcinoma
TLDR
Pelvic exenteration provided worthwhile palliation and achieved a cumulative five-year survival rate of 38.8% in 49 patients who had carcinoma of the lower colon or rectum infiltrating adjoining pelvic viscera, and complete clearance of locally advanced colorectal cancer by pelvic exEnteration is indicated in fit patients, especially those with Stage II disease. Expand
Total pelvic exenteration for locally advanced rectal carcinoma
TLDR
The results suggest that total pelvic exenteration with lateral node dissection should be performed for locally advanced rectal cancer if the tumor is not completely fixed to the pelvic wall and preoperative irradiation should be used to convert a fixed tumor to a resectable one. Expand
Exenterative surgery for locally advanced rectosigmoid cancers. Is it worthwhile?
TLDR
Total pelvic exenteration is advocated for selected primary, locally advanced, rectosigmoid lesions in good-risk patients; it can be achieved now with acceptable morbidity and mortality rates and a survival rate in excess of 40% at 5 years. Expand
Morbidity and mortality after pelvic exenteration for colorectal adenocarcinoma.
TLDR
The authors conclude that, although exenteration for colorectal adenocarcinoma may be performed with a low operative mortality rate, patients must be carefully selected because the associated morbidity rate remains high. Expand
Survival following extended operations for extracolonic invasion by colon cancer.
TLDR
A comparison with patients with similarly staged Dukes' B and C disease shows a substantially improved survival at five years when extended operation is performed, and one man is alive seven years postoperatively with recurrent disease. Expand
Extended resection for locally advanced primary adenocarcinoma of the rectum
To determine the perioperative mortality and morbidity and the long-term prognosis of patients undergoing extended pelvic resections for localized advanced primary adenocarcinoma of the rectum, theExpand
Complications of pelvic exenteration.
TLDR
This report is based on a retrospective review of 104 patients who had undergone pelvic exenteration for advanced malignancy over a 29-year period and found no association was identified between the complication rate and organ of primary disease, extent of disease, tumor histology, or extent of resection. Expand
Results of extended surgery for cancer of the rectum and sigmoid
TLDR
The clinical records of 61 patients who underwent extended surgery, including resection of parietes or other viscera, from 1965 to 1977 for cancer of the rectum and sigmoid were reviewed, and results compare favourably with those reported after ordinary resections of Dukes' C cancers. Expand
Multivisceral resections in colorectal cancer
From 1969 to 1983 a total of 1918 patients with colorectal cancer were treated by curative resection. One hundred twenty one patients in this group had multivisceral organ involvement, necessitatingExpand
Influence of surgical techniques on survival in patients with colorectal cancer
This review was undertaken in an attempt to accumulate and critically evaluate all evidence that suggests that special techniques may alter survival rates of patients undergoing surgery forExpand
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