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Modified pelvic anterior exenteration
Author(s) -
Ng H.T.,
Kan Y.Y.,
Ho E.S.C.,
Yen M.S.,
Chao K.C.,
Yuan C.C.
Publication year - 1995
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(95)02408-5
Subject(s) - medicine , pelvic exenteration , urinary diversion , surgery , cystostomy , urination , bladder cancer , urinary system , urinary bladder , cystectomy , cancer
Abstract During a 20‐year time period, 117 patients with various histologic types of cancer underwent pelvic exentereation. Six of the 107 patients who needed anterior exenteration with urinary diversion received partial excision of the urinary bladder and modification surgery, of which three had uretero‐cystostomy, two had mobilization of bladder and uretero‐cystostomy and one had uretero‐uterostomy. These six patients, except for two, died of disease in 1 year. Two patients are alive and happy, with quality of life because they can urinate normally. We suggest that anterior exenteration should be modified whenever possible to preserve the bladder and not to do an urinary diversion.