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Total pelvic exenteration for advanced carcinoma of the lower colon
Author(s) -
Takagi Hiroshi,
Morimoto Takeshi,
Yasue Mitsunori,
Kato Kimiyuki,
Yamada Eikichi,
Suzuki Ryoji
Publication year - 1985
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930280114
Subject(s) - pelvic exenteration , medicine , carcinoma , general surgery , oncology , surgery
Thirteen patients with advanced carcinoma of the lower colon and no evidence of extrapelvic metastasis were submitted to total pelvic exenteration. Nine of the 13 patients had ureteral urinary diversion by the ileal segment conduit. Three had colonic conduit bladder using the terminal portion of the descending colon. One patient had bilateral uretero colonic anastomosis. The operative mortality rate was 7.7%. Determinate 5‐year survival rate of 38.5% was achieved. Histological examinations of the surgical specimen revealed associated abcesses adjacent to the tumor in six cases, although the cancer extended to the bowel wall and adhered to the surrounding structures in all specimens. Total pelvic exenteration assures a better quality of life, lessening of symptoms, disease control and, in selected patients, a cure.