Clincal practice of pelvic exenteration for late complications of pelvic radiation injury.
10.3760/cma.j.cn441530-20221206-00510
- Author:
Teng Hui MA
1
;
Yan Jiong HE
1
;
Zuo Lin ZHOU
1
Author Information
1. Department of Radiation Enteropathy, Department of Colorectal and Anal Surgery, Department of General Surgery, Guangdong Provincial Key Laboratory of Colorectal Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, China.
- Publication Type:Journal Article
- MeSH:
Humans;
Pelvic Exenteration/adverse effects*;
Postoperative Complications;
Quality of Life;
Radiation Injuries/surgery*;
Neoplasm Recurrence, Local/surgery*;
Retrospective Studies
- From:
Chinese Journal of Gastrointestinal Surgery
2023;26(3):235-240
- CountryChina
- Language:Chinese
-
Abstract:
Pelvic radiation injury can potentially involve multiple pelvic organs, and due to its progressive and irreversible nature, its late stage can be complicated by fistulas, perforations, obstructions and other complications involved multiple pelvic organs, which seriously affect the long-term survival and the quality of life of patients. As a multidisciplinary surgical approach, pelvic exenteration has potential application in the treatment of late complications of pelvic radiation injury by completely removing the irradiated lesion, relieving symptoms and avoiding recurrence of symptoms. In clinical practice, we should advocate the concept of "pelvic radiation injury", emphasize multidisciplinary collaboration, fully evaluate the overall status of patients, primary tumor and pelvic radiation injury. We should follow the principles of "damage-control" and "extended resection", and follow the principle of enhanced recovery after surgery to achieve the goal of ensuring the surgical safety, relieving patients' symptoms and improving patients' quality of life and long-term survival.
