Outcome of Extended Pelvic Resections, Including Pelvic Nerves, Bones and External Iliac Vessels, Performed with Curative Intent

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F27661989%3A_____%2F17%3AN0000012" target="_blank" >RIV/27661989:_____/17:N0000012 - isvavai.cz</a>

Result on the web

<a href="https://www.sciencedirect.com/journal/international-journal-of-gynecological-cancer/vol/27/suppl/S4" target="_blank" >https://www.sciencedirect.com/journal/international-journal-of-gynecological-cancer/vol/27/suppl/S4</a>

DOI - Digital Object Identifier

—

Result language

angličtina

Original language name

Outcome of Extended Pelvic Resections, Including Pelvic Nerves, Bones and External Iliac Vessels, Performed with Curative Intent

Original language description

Aims Pelvic exenteration (PE) offers a chance of 40–60% for long-term survival to selected patients with recurrent pelvic malignancies and no other curative alternative. Traditionally, the involvement of large vessels, nerves, and pelvic bones are considered contraindications. The aim of the paper is to present the outcome of the procedures performed with curative intent that go beyond the traditional limits of PE. Method Extended pelvic resections (EPR) were defined as procedures that included the resection of large pelvic nerves, external and common iliac vessels, and pelvic bones. Results EPR were performed in 20 patients with the recurrence of gynecological malignant tumours between 2011–2017. The spectrum of procedures comprised nerve resections in 18, bone resection in 5, and large vessel resection in 6 patients. No patient died of complications, but postoperative complications occurred in 12 patients, 9 of which required re-operation. Bone resection was not associated with any specific morbidity. Two cases of vascular resection required femoro-femoral artery bypass. Resection of large nerves caused functional loss and loss of sensation corresponding to individual nerve injury. Within the median follow-up of 18 months, 6 patients died of disease progression, 1 died of another cause, 2 are alive with disease, and 11 are without evidence of disease. Conclusion EPR is associated with specific short- and long-term morbidity; it is, however, feasible. The involvement of large vessels, nerves and bones do not represent an absolute contraindication for surgery in selected cases with pelvic recurrence.

Czech name

—

Czech description

—

Type

J_ost - Miscellaneous article in a specialist periodical

CEP classification

—

OECD FORD branch

30214 - Obstetrics and gynaecology

Project

—

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

International Journal of Gynecological Cancer

ISSN

1048-891X

e-ISSN

1048-891X

Volume of the periodical

27

Issue of the periodical within the volume

Supplement 4

Country of publishing house

GB - UNITED KINGDOM

Number of pages

1

Pages from-to

138-138

UT code for WoS article

000423235201131

EID of the result in the Scopus database

—