#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Total pelvic exenteration – strategy and extent of surgery


Authors: J. Šimša 1;  V. Visokai 1;  L. Lipská 1;  M. Levý 1;  R. Zachoval 2
Authors place of work: Chirurgická klinika 1. LF Univerzity Karlovy a IPVZ, Thomayerova nemocnice přednosta: doc. MUDr. J. Šimša, Ph. D. 1;  Chirurgické oddělení Thomayerovy nemocnice primář: doc. MUDr. R. Zachoval, Ph. D. 2
Published in the journal: Rozhl. Chir., 2017, roč. 96, č. 6, s. 242-246.
Category: Review

Summary

Introduction:
Pelvic exenteration is an essential part of complex treatment of advanced tumours of the small pelvis. The strategy of surgery is well known and consensual. However, the optimal extent of lymphadenectomy is still under discussion. The aim of this paper is to summarize the strategy of surgery and the extent of lymphadenectomy.

Methods:
Review of the literature and retrospective analysis of 63 patients of our cohort, operated on at the Department of Surgery of the First Faculty of Medicine, Charles University and Thomayer Hospital between 1999–2015.

Conclusion:
The paper describes indications for pelvic exenteration, the strategy of surgery and the necessary extent of lymphadenectomy.


Zdroje

1. Brunschwig A. 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 1948;1:177−83.

2. Antoš F, Šerclová Z, Gilbert Z, a kol. Exenterace malé pánve a HIPEC v léčbě pokročilých kolorektálních nádorů. Bulletin HPB 2005;13:2.

3. Cibula D, Babjuk M, Mareš P, a kol. Exenterace pánve. Klin Onkol 2005;18:184 −7.

4. Gurlich R, Cibula D, Babjuk M, et al. Exenterační výkony v pánvi. Rozhl Chir 2005;84:403−9.

5. Vávra P, Meiner K, Guňková P, et al. Chirurgická léčba pokročilých stádií rektálního karcinomu. Rozhl Chir 2005;84:605−9.

6. Lipská L, Visokai V, a kol. Pelvická exenterace. In: Recidiva kolorektálního karcinomu. Praha, Grada 2009;329−52.

7. McElwain JW, Bacon HE, et al. Cancer of the rectum – a review. A Cancer Journal for Clinicians 1954;4:80−3.

8. Morgan N, Griffiths D. High ligation of the inferior mesenteric artery during operations for carcinoma of the distal colon and rectum. Surg Gynecol Obstet 1959;108:641−50.

9. Rosi P, Cahill W, Carey J, et al. A ten year study of hemicolectomy in the treatment of carcinoma of the descending and sigmoid colon and rectum. Surg Gynecol Obstet 1962;114:14−24.

10. Pezim M, Nicholls R. Survival after high or low ligation of the inferior mesenteric artery during curative surgery for rectal cancer. Ann Surg 1984;200:729−33.

11. Georgiou P, Tan E, Gouvas N, et al. Extended lymphadenectomy versus conventional surgery for rectal cancer: a meta-analysis. Lancet Oncology 2009;10:1053−62.

12. Bricker EM. Bladder substitution after pelvic evisceration. Surg Clin North Am 1950;30:1511−21.

Štítky
Surgery Orthopaedics Trauma surgery
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#