Retrospective analysis of curative effect of total pelvic organ resection and anal preservation in 20 patients with recurrence of cervical cancer after radical radiotherapy
10.3760/cma.j.cn112152-20190806-00504
- VernacularTitle:20例宫颈癌根治性放疗后复发患者行全盆腔脏器切除保肛治疗的效果分析
- Author:
Gangcheng WANG
1
;
Chongqing GAO
;
Yingjun LIU
;
Guangsen HAN
;
Youcai WANG
;
Guoqiang ZHANG
;
Liangliang DING
;
Bin LI
;
Baochun WANG
;
Shunwu CHANG
Author Information
1. 郑州大学附属肿瘤医院普外科 450008
- Keywords:
Cervical neoplasms;
Recurrence;
Surgery;
Pelvic organ resection
- From:
Chinese Journal of Oncology
2020;42(3):242-246
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the surgical method and effect of en bloc pelvic resection and anal preservation after radical radiotherapy for cervical cancer.Methods:Clinical data of 20 cervical cancer patients with central recurrence after radical radiotherapy underwent en bloc pelvic resection in the Tumor Hospital of Zhengzhou University and Hainan Provincial People′s Hospital from January 2013 to December 2017 were retrospectively analyzed. The operative time, intraoperative blood loss, length of stay, postoperative anal function and postoperative complications were evaluated.Results:The median operation time of 20 patients with anal preservation after en bloc pelvic resection was 135.2 min, the median intraoperative blood loss was 680 ml, and the median hospitalization time was 16.5 days. Among them, 18 patients had good postoperative healing, and the anal function gradually returned to normal within 6 months after surgery, defecated 1~2 times per day.One patient showed incomplete adhesion between the external colon and the anus. One patient presented with pre-sacral infection. Postoperative pathology confirmed the recurrences in 20 patients, of which 11 cases were squamous cell carcinoma, 7 cases were adenocarcinoma, 2 cases were adenosquamous cell carcinoma.Conclusions:It is safe and reliable to preserve anus after en bloc pelvic resection for cervical cancer patients with radical radiotherapy. The anus function is good enough to improve the postoperative life quality of patients significantly.
