Pelvic Exenteration: Surgical Approaches.
10.3393/jksc.2012.28.6.286
- Author:
Jin KIM
1
Author Information
1. Division of Colorectal Surgery, Department of Surgery, Korea University College of Medicine, Seoul, Korea. mrgs@korea.ac.kr
- Publication Type:Review
- Keywords:
Rectal neoplasms;
Local recurrence;
Surgical technique: Pelvic anatomy
- MeSH:
Adoption;
Incidence;
Pelvis;
Perioperative Care;
Rectal Neoplasms;
Recurrence
- From:Journal of the Korean Society of Coloproctology
2012;28(6):286-293
- CountryRepublic of Korea
- Language:English
-
Abstract:
Although the incidence of local recurrence after curative resection of rectal cancer has decreased due to the understanding of the anatomy of pelvic structures and the adoption of total mesorectal excision, local recurrence in the pelvis still remains a significant and troublesome complication. While surgery for recurrent rectal cancer may offer a chance for a cure, conservative management, including radiation and chemotherapy, remain widely accepted courses of treatment. Recent improvement in imaging modalities, perioperative care, and surgical techniques, including bone resection and wound coverage, have allowed for reductions in operative mortality, though postoperative morbidity still remains high. In this review, the techniques, including surgical approaches, employed for management of locally recurrent rectal cancer are highlighted.
