Hohenberger W, Brunner M, Merkel S (2021)
Publication Type: Authored book
Publication year: 2021
Publisher: wiley
ISBN: 9781119518495
DOI: 10.1002/9781119518495.ch9
Extended surgery necessitating total pelvic exenteration occurs in 20% of cases. Approximately three-quarters of advanced primary tumors need a posterior pelvic exenteration to achieve clear margins. However, in cases of recurrent cancer, more than 50% need a total pelvic exenteration. Good preoperative examination and radiology assessment ensure that posterior pelvic exenteration should suffice to clear all neoplasm microscopically. In selected cases of limited peritoneal seedings, in addition to pelvic exenteration, hyperthermic intraperitoneal chemotherapy may be discussed. However, without obstruction, fistulizing disease, or sealed perforation, in case of peritoneal metastasis, neoadjuvant chemotherapy may be performed first and definitive surgery postponed. A salpingo-oophorectomy is frequently part of a posterior exenteration. Sometimes, continuous growth of a tumor to the lateroposterior sidewall of the pelvis can be resected only after anterior exposure of the sciatic nerve.
APA:
Hohenberger, W., Brunner, M., & Merkel, S. (2021). Posterior Pelvic Exenteration. wiley.
MLA:
Hohenberger, Werner, Maximilian Brunner, and Susanne Merkel. Posterior Pelvic Exenteration. wiley, 2021.
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