Читать книгу Surgical Management of Advanced Pelvic Cancer - Группа авторов - Страница 12

Pelvic exenteration, involving radical multivisceral resection of the pelvic organs, represents the best treatment option. The first report of pelvic exenteration was in 1948 by Alexander Brunschwig of the Memorial Hospital (New York USA), as a palliative procedure for cervical cancer [1]. Due to high morbidity and mortality rates many considered palliative exenteration too radical, and it was performed only in a small number of centers in North America [2].

Technologic advancements, surgical innovations, and improved perioperative care facilitated the evolution of safer and more radical exenterative techniques for the treatment of advanced gastrointestinal and urogynecological malignancies [3]. Worldwide collaborative data [4, 5] have demonstrated that a negative resection margin is crucial in predicting survival and quality of life after surgery. Carefully selected patients who undergo en‐bloc resection of contiguously involved anatomic structures with R0 resection margins can expect good long‐term survival with acceptable levels of morbidity [4, 5].