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Use of ileal urinary diversion in conjunction with intraoperative radiotherapy
Author(s) -
Slaton Joel W.,
Kropp Kenneth A.,
Selman Steven H.,
Merrick Hollis W.,
Dobelbower Ralph R.
Publication year - 1995
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.2930580404
Subject(s) - medicine , urinary diversion , pelvis , perioperative , surgery , ileum , radiation therapy , urinary system , intraoperative radiation therapy , cancer , bladder cancer , cystectomy
Intraoperative radiotherapy (IORT) was introduced in the 1970s as a new modality of cancer therapy. It has been especially useful after local irradiation or surgical failure. We report on the use of IORT in 13 patients with pelvic tumors requiring urinary diversion. All 13 were managed with ileal conduits. Despite the associated problems of prior abdominal procedures (11/13 patients), prior external beam radiation to the pelvis (11/13 patients), systemic chemotherapy (4/13 patients), and prolonged operative time (> 10 hours), perioperative mortality (1/13) and morbidity rates were low. We conclude that in cases of prior colonic resection and pelvic radiation, potentially irradiated ileum can be safely used for urinary diversion. © 1995 Wiley‐Liss, Inc.