<abstract xmlns="http://www.w3.org/1999/xhtml">Introduction: Indication of primary pelvic exenteration, without previous radiotherapy, is questionable in advanced stages of gynaecological malignancies.Materials and Methods: 24 patients who underwent primary pelvic exenteration for pelvic malignancies were studied retrospectively. The indications were cervical (n=17), vaginal (n=4), bladder (n=2) and endometrial cancer (n=1).Results: According to the type of exenteration, 14 were anterior and 10 total. Relying on the resection lines in relation with levator ani muscles, 14 were supralevatorial and 10 infralevatorial, of which five involved vulvectomy. Early complications occurred in 7 patients with 1 perioperative death.Conclusions: Primary pelvic exenterantion as first line therapy for advanced gynaecological malignancies can lead to long-term survival and it can even be curative in suitable selected patients. Still, postoperative complications are frequent, which can be lethal.</abstract>

Introduction: Indication of primary pelvic exenteration, without previous radiotherapy, is questionable in advanced stages of gynaecological malignancies.Materials and Methods: 24 patients who underwent primary pelvic exenteration for pelvic malignancies were studied retrospectively. The indications were cervical (n=17), vaginal (n=4), bladder (n=2) and endometrial cancer (n=1).Results: According to the type of exenteration, 14 were anterior and 10 total. Relying on the resection lines in relation with levator ani muscles, 14 were supralevatorial and 10 infralevatorial, of which five involved vulvectomy. Early complications occurred in 7 patients with 1 perioperative death.Conclusions: Primary pelvic exenterantion as first line therapy for advanced gynaecological malignancies can lead to long-term survival and it can even be curative in suitable selected patients. Still, postoperative complications are frequent, which can be lethal.

Primary Pelvic Exenteration for Advanced Gynaecological Malignancies

“George Emil Palade” University of Medicine, Pharmacy, Science and Technology of Târgu Mureș Emergency Clinical County Hospital Târgu Mureș

Acta Medica Transilvanica

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"Primary Pelvic Exenteration for Advanced Gynaecological Malignancies"}

Introduction: Indication of primary pelvic exenteration, without previous radiotherapy, is questionable in advanced stages of gynaecological...

Primary Pelvic Exenteration for Advanced Gynaecological Malignancies

Publié en ligne: 03 août 2020

Pages: 52 - 54

Reçu: 20 mars 2020

Accepté: 28 mai 2020

DOI: https://doi.org/10.2478/amtsb-2020-0031

Mots clés
primary pelvic exenteration, complications, survival, radical

© 2020 Dragoș Constantin Cucoranu et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Primary Pelvic Exenteration for Advanced Gynaecological Malignancies

Publié en ligne: 03 août 2020

Pages: 52 - 54

Reçu: 20 mars 2020

Accepté: 28 mai 2020

DOI: https://doi.org/10.2478/amtsb-2020-0031

Mots clésprimary pelvic exenteration, complications, survival, radical

© 2020 Dragoș Constantin Cucoranu et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Mots clés
primary pelvic exenteration, complications, survival, radical