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Seven cases of pelvic exenteration combined with sacral resection for locally recurrent rectal cancer
Author(s) -
Takagi Hiroshi,
Morimoto Takeshi,
Hara Suguru,
Suzuki Ryoji,
Horio Shizuka
Publication year - 1986
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.2930320314
Subject(s) - medicine , pelvic exenteration , surgery , abdominoperineal resection , colorectal cancer , pelvis , percutaneous , urinary diversion , rectum , carcinoembryonic antigen , radiology , cancer , bladder cancer , cystectomy
Local recurrence of rectal cancer following abdominoperineal resection is rarely amenable to limited resection. Carcinoembryonic antigen assay is valuable for diagnosing most recurrent rectal cancers, but it is inadequate for early detection. Pelvic computed tomography examination is very valuable for the early detection and localization of recurrence in relation to pelvic structures and can also serve as a guide in percutaneous needle biopsy of the tumor. Seven patients with deeply invading recurrent lesions underwent pelvic exenteration combined with sacral resection. The ileal segment conduit was used for ureteral urinary diversion. The mean operation time and blood loss were 8.8 hours and 6,200 ml, respectively. No operative deaths were encountered. One patient is alive 22 months postoperatively with no evidence of disease, and another patient is alive 32 months postoperatively with pelvic wall recurrence. This procedure seems a reasonable treatment for palliation and full recovery in certain patients.