This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (66)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

James G. Jakowatz, MD; David Porudominsky, MD; Daniel U. Riihimaki, MD; Margaret Kemeny, MD; William A. Kokal, MD; Patricia S. Braly, MD; José J. Terz, MD; J. David Beatty, MD

Arch Surg. 1985;120(11):1261-1265.

Abstract
• This report is based on a retrospective review of 104 patients who had undergone pelvic exenteration for advanced malignancy over a 29-year period (1956 to 1984, inclusive). Fifty-one patients (49%) developed major complications of the operative field involving the gastrointestinal tract (fistula or obstruction), the urinary tract (fistula, infection, or obstruction), or the wound (abscess, dehiscence/necrosis, or hemorrhage). No association was identified between the complication rate and organ of primary disease, extent of disease, tumor histology, or extent of resection. Patients receiving pelvic radiotherapy prior to exenteration had a much higher complication rate (39/58, 67%) than patients having had no radiotherapy (12/46, 26%). Reconstruction of the irradiated pelvis after exenteration by omental flap, colonic advancement, and/or myocutaneous flaps decreased the complication rate from 82% (27/33) to 48% (12/25). The operative mortality of pelvic exenteration was 2.9% and the actuarial five-year survival rate was 27%.

(Arch Surg 1985;120:1261-1265)

Author Affiliations
From the Departments of General Oncologic Surgery (Drs Jakowatz, Porudominsky, Riihimaki, Kemeny, Kokal, Terz, and Beatty) and Gynecologic Oncology (Dr Braly), City of Hope National Medical Center, Duarte, Calif.

Footnotes
Accepted for publication July 25, 1985.

Read before the Annual Meeting of the Southern California Chapter of the American College of Surgeons, Coronado, Calif, Jan 19, 1985.

Reprint requests to Department of General Oncologic Surgery, City of Hope National Medical Center, 1500 E Duarte Rd, Duarte, CA 91010 (Dr Beatty).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Total Pelvic Exenteration: A 50-Year Experience at the Ellis Fischel Cancer Center
Lopez et al.
Arch Surg 1994;129:390-396.
ABSTRACT  

Patterns of Recurrence After Pelvic Exenteration for Colorectal Adenocarcinoma
Hafner et al.
Arch Surg 1991;126:1510-1513.
ABSTRACT