Total pelvic exenteration as a potentially curative surgical procedure in locally advanced gynecologic malignancy

N. Bacalbașa, A. Filipescu, I. Bălescu

Abstract: Total pelvic exenteration is an aggressive surgical procedure addressed to invasive pelvic tumors or pelvic recurrences after gynecologic malignancies. The principle is en bloc resection of the pelvic organs or partial resection when either urinary bladder or rectum is respected. It consists in a resectional phase which involves multivisceral resections of the pelvic organs with tumoral involvement and a reconstruction phase which re-creates the continuity of the digestive and urinary tract and, according to the patient’s wish a neo-vagina. In pre-irradiated patients, both dissection and reconstruction phases can be hampered and the postoperative complication rates can be significantly higher.
DOI:10.18643/gieu.2014.78

Keywords: advanced gynecologic malignancies, irradiation, total pelvic exenteration.