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Future Directions

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The ability to perform radical and extended pelvic cancer surgery is the only potentially curative treatment for patients with locally advanced or recurrent pelvic tumors.

Better diagnostics and chemotherapeutics are likely to be “key” in personalizing patient care, improving survival, or converting unresectable disease to resectable. In addition, there is growing research on quality‐of‐life outcome data following extended radical surgery. This is increasingly becoming as important an outcome measure as survival. The PelvEx Collaborative, offers an unique opportunity to prospectively assess exenterative outcomes, refine treatment options and further improve the management of advanced pelvic malignacies.


Figure 1.5 Gracilis myocutaneous flap for reconstruction of the perineum after PE as described by McCraw et al. in 1976. Copyright © 1976 Plastic & Reconstructive Surgery.

Source: Reproduced with permission from Wolters Kluwer [70].

Surgical Management of Advanced Pelvic Cancer

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