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Urological Aspects of Hemicorporectomy
Author(s) -
SANFORD E. J.,
HELAL M. A.,
NORMAN J. G.,
KARL R. C.,
O'KELLY K.
Publication year - 1993
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1993.tb16296.x
Subject(s) - medicine , urinary diversion , pelvis , surgery , stage (stratigraphy) , urinary system , general surgery , cancer , paleontology , bladder cancer , cystectomy , biology
Summary The indications for hemicorporectomy are few. However, with improvements in surgical techniques, anaesthesia and post‐operative surgical care, hemicorporectomy may again become a reasonable treatment for certain patients with malignancies of the pelvis. A 2‐stage procedure is described which consists of an initial staging celiotomy with urinary and faecal diversions. A non‐refluxing colon conduit is the preferred form of urinary diversion. The hemicorporectomy is performed approximately 2 weeks later. No complications were encountered in the post‐operative period. Our experience and a review of the literature suggest that hemicorporectomy is a reasonable salvage procedure for certain patients with pelvic malignancies.