Total pelvic exenteration for locally postoperative recurrent rectal cancer
- VernacularTitle:全盆腔脏器切除术治疗直肠癌术后盆腔局部复发
- Author:
Yisheng PAN
;
Yuanlian WAN
;
Yucun LIU
;
Xin WANG
;
Tao WU
;
Shanjun HUANG
- Publication Type:Journal Article
- Keywords:
Colorectal neoplasms;
Recurrence;
Pelvic exenteration;
Prognosis
- From:
Chinese Journal of General Surgery
1997;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate total pelvic exenteration (TPE) in the treatment of locally recurrent rectal cancer (LRRC). Methods Clinical data of 35 patients with LRRC who underwent TPE between 1989 and 2003 were analyzed retrospectively. Results Thirty patients underwent TPE, the remaining 2 did sphincter-preserving TPE, 2 with lower sacrectomy and 1 with hemipelvectomy, among them 80% cases received radical resection. Operative mortality rate was 3%, and morbidity rate was 51%. The overall post TPE tumor local recurrence rate was 48%. The 5-year survival rate was 16% in all cases and 19% in radical resection group. The 5-year survival rate in patients without lymph node metastasis was 24%, and 0 in patients with metastasis. Conclusion Effective TPE treatment lies in strict patient selection and radical resection.
