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Clin Colon Rectal Surg 2020; 33(05): 268-278
DOI: 10.1055/s-0040-1713744
Review Article

Multivisceral Resection of Advanced Pelvic Tumors: From Planning to Implementation

R. Mirnezami
1   Department of Colorectal Surgery, Royal Free Hospital, Hampstead, London
,
A. Mirnezami
2   Division of Cancer Sciences, Cancer Research UK Centre, University of Southampton, Southampton, United Kingdom
3   Southampton Complex Cancer and Exenterative Unit, University Hospital Southampton, Southampton, United Kingdom
› Author Affiliations Funding The authors did not receive any financial support for this manuscript.
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Abstract

Pelvic exenteration involves radical multivisceral resection for locally advanced and recurrent pelvic tumors. Advances in tumor staging, oncological therapies, preoperative patient optimization, surgical techniques, and critical care medicine have permitted the safe expansion of pelvic exenterative surgery at specialist units. It is now understood that in carefully selected patients, 5-year survival can exceed 60% following pelvic exenteration, and that very low mortality figures and an optimum postexenteration quality of life are possible. In the present review, we provide a contemporary summary of the current state of the art in pelvic exenterative surgery following all key phases of the treatment pipeline from patient staging and tumor assessment, to treatment planning and surgery.

Keywords

pelvic exenteration - multivisceral resection - advanced cancer - recurrent cancer


Publication History

Article published online:
18 September 2020

Thieme Medical Publishers
333 Seventh Avenue, New York, NY 10001, USA.

 

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