Extended pelvic resection for gynecological malignancies: A review of out-of-the-box surgery

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064165%3A_____%2F22%3A10445288" target="_blank" >RIV/00064165:_____/22:10445288 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11110/22:10445288

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=VJPAEEgCJY" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=VJPAEEgCJY</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.ygyno.2022.03.002" target="_blank" >10.1016/j.ygyno.2022.03.002</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Extended pelvic resection for gynecological malignancies: A review of out-of-the-box surgery

Popis výsledku v původním jazyce

The term&apos;out-of-the-box surgery&apos; in gynecologic oncologywas recently coined to describe the resection of tumor growing out of the endopelvic cavity. In the specific case of pelvic sidewall involvement, a laterally extended pelvic resection may be required. As previously defined by Hockel, this resection requires the en bloc removal of structures including the pelvic sidewall muscles, bones, nerves, and/or major vessels. This complex radical procedure leads to tumor-free margins in more than 75% of the patients, with reliable functional results. The rate of recurrence and overall survival are directly correlated with clear resection margins. Progress in imaging, surgical techniques, and perioperative care currently offer the opportunity to attempt surgical curative resection in selected patients forwhompalliative therapy was the only alternative. However, the procedure is associated with a high rate ofmajor postoperative complications affecting up to 60% of patients. Multidisciplinary expert centers are themost likely to achieve this complex surgerywith favorable oncological outcomes. The aimof this review is to summarize the key issues of out-of-the-box surgery in gynecologic cancer. (C) 2022 Elsevier Inc. All rights reserved.

Název v anglickém jazyce

Extended pelvic resection for gynecological malignancies: A review of out-of-the-box surgery

Popis výsledku anglicky

The term&apos;out-of-the-box surgery&apos; in gynecologic oncologywas recently coined to describe the resection of tumor growing out of the endopelvic cavity. In the specific case of pelvic sidewall involvement, a laterally extended pelvic resection may be required. As previously defined by Hockel, this resection requires the en bloc removal of structures including the pelvic sidewall muscles, bones, nerves, and/or major vessels. This complex radical procedure leads to tumor-free margins in more than 75% of the patients, with reliable functional results. The rate of recurrence and overall survival are directly correlated with clear resection margins. Progress in imaging, surgical techniques, and perioperative care currently offer the opportunity to attempt surgical curative resection in selected patients forwhompalliative therapy was the only alternative. However, the procedure is associated with a high rate ofmajor postoperative complications affecting up to 60% of patients. Multidisciplinary expert centers are themost likely to achieve this complex surgerywith favorable oncological outcomes. The aimof this review is to summarize the key issues of out-of-the-box surgery in gynecologic cancer. (C) 2022 Elsevier Inc. All rights reserved.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30214 - Obstetrics and gynaecology

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2022

Kód důvěrnosti údajů

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

Název periodika

Gynecologic Oncology

ISSN

0090-8258

e-ISSN

1095-6859

Svazek periodika

165

Číslo periodika v rámci svazku

2

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

8

Strana od-do

393-400

Kód UT WoS článku

000823109900024

EID výsledku v databázi Scopus

2-s2.0-85126868774