Table of Contents Author Guidelines Submit a Manuscript
International Journal of Surgical Oncology
Volume 2015, Article ID 729658, 6 pages
http://dx.doi.org/10.1155/2015/729658
Clinical Study

Pelvic Exenteration: Experience from a Rural Cancer Center in Developing World

1Department of Surgical Oncology, Malabar Cancer Center, Thalassery-Koppalam-Panoor Road, Moozhikkara, Kodiyeri, Thalassery, Kannur, Kerala 670103, India
2Department of Clinical Hematology and Medical Oncology, Malabar Cancer Center, Thalassery-Koppalam-Panoor Road, Moozhikkara, Kodiyeri, Thalassery, Kannur, Kerala 670103, India
3Department of Radiation Oncology, Malabar Cancer Center, Thalassery-Koppalam-Panoor Road, Moozhikkara, Kodiyeri, Thalassery, Kannur, Kerala 670103, India
4Division of Clinical Research and Biostatistics, Malabar Cancer Center, Thalassery-Koppalam-Panoor Road, Moozhikkara, Kodiyeri, Thalassery, Kannur, Kerala 670103, India

Received 24 August 2014; Revised 29 December 2014; Accepted 5 January 2015

Academic Editor: Steven Heys

Copyright © 2015 Sampada B. Dessai et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. A. Brunschwig, “Complete excision of pelvic viscera for advanced carcinoma: a one-stage abdominoperineal operation with end colostomy and bilateral ureteral implantation into the colon above the colostomy,” Cancer, vol. 1, no. 2, pp. 177–183, 1948. View at Google Scholar
  2. H. Ike, H. Shimada, S. Yamaguchi, Y. Ichikawa, S. Fujii, and S. Ohki, “Outcome of total pelvic exenteration for primary rectal cancer,” Diseases of the Colon and Rectum, vol. 46, no. 4, pp. 474–480, 2003. View at Publisher · View at Google Scholar · View at Scopus
  3. T. X. Yang, D. L. Morris, and T. C. Chua, “Pelvic exenteration for rectal cancer: a systematic review,” Diseases of the Colon and Rectum, vol. 56, no. 4, pp. 519–531, 2013. View at Publisher · View at Google Scholar · View at Scopus
  4. M. A. Terán-Porcayo, I. Zeichner-Gancz, R. A. C. Gomez del-Castillo, A. Beltrán-Ortega, and G. Solorza-Luna, “Pelvic exenteration for recurrent or persistent cervical cancer,” Medical Oncology, vol. 23, no. 2, pp. 219–223, 2006. View at Publisher · View at Google Scholar
  5. E. J. Diver, J. A. Rauh-Hain, and M. G. del Carmen, “Total pelvic exenteration for gynecologic malignancies,” International Journal of Surgical Oncology, vol. 2012, Article ID 693535, 9 pages, 2012. View at Publisher · View at Google Scholar · View at Scopus
  6. R. Ramamurthy and A. Duraipandian, “Morbidity and outcome of pelvic exenteration in locally advanced pelvic malignancies,” Indian Journal of Surgical Oncology, vol. 3, no. 3, pp. 231–235, 2012. View at Publisher · View at Google Scholar · View at Scopus
  7. J. M. Goldberg, M. S. Piver, R. E. Hempling, C. Aiduk, L. Blumenson, and F. O. Recio, “Improvements in pelvic exenteration: factors responsible for reducing morbidity and mortality,” Annals of Surgical Oncology, vol. 5, no. 5, pp. 399–406, 1998. View at Publisher · View at Google Scholar · View at Scopus
  8. P. Durgatosh, Z. Shuaib, M. Vikas, and K. Ravi, “Pelvic exenteration: a perspective from a regional cancer center in India,” Indian Journal of Cancer, vol. 41, no. 3, pp. 109–114, 2004. View at Google Scholar · View at Scopus
  9. M. Sarkar, H. Konar, and D. Raut, “Clinico-pathological features of gynecological malignancies in a tertiary care hospital in Eastern India: importance of strengthening primary health care in prevention and early detection,” Asian Pacific Journal of Cancer Prevention, vol. 14, no. 6, pp. 3541–3547, 2013. View at Publisher · View at Google Scholar
  10. R. A. Badwe and C. S. Pramesh, “Surgical oncology—at the crossroads,” Indian Journal of Surgery, vol. 71, no. 6, pp. 290–291, 2009. View at Publisher · View at Google Scholar
  11. M. Gonen, D. Rubin, M. Radzyner, and M. F. Brennan, “Long-term survival is superior after resection for cancer in high-volume centers,” Annals of Surgery, vol. 242, no. 4, pp. 540–454, 2005, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1402350. View at Publisher · View at Google Scholar
  12. S. V. Shrikhande, S. G. Barreto, B. A. Somashekar et al., “Evolution of pancreatoduodenectomy in a tertiary cancer center in India: improved results from service reconfiguration,” Pancreatology, vol. 13, no. 1, pp. 63–71, 2013. View at Publisher · View at Google Scholar · View at Scopus
  13. M. A. Rodriguez-Bigas and N. J. Petrelli, “Pelvic exenteration and its modifications,” American Journal of Surgery, vol. 171, no. 2, pp. 293–301, 1996. View at Publisher · View at Google Scholar · View at Scopus
  14. A. B. McEwan and P. Clark, “The stoma of the ileal conduit,” British Journal of Urology, vol. 45, no. 6, pp. 600–605, 1973. View at Publisher · View at Google Scholar · View at Scopus
  15. M. P. Kuhrt, R. J. Chokshi, D. Arrese, and E. W. Martin Jr., “Retrospective review of pelvic malignancies undergoing total pelvic exenteration,” World Journal of Surgical Oncology, vol. 10, article 110, 2012. View at Google Scholar · View at Scopus
  16. S. Marnitz, C. Köhler, M. Müller, K. Behrens, K. Hasenbein, and A. Schneider, “Indications for primary and secondary exenterations in patients with cervical cancer,” Gynecologic Oncology, vol. 103, no. 3, pp. 1023–1030, 2006. View at Publisher · View at Google Scholar · View at Scopus
  17. S. Sharma, K. Odunsi, D. Driscoll, and S. Lele, “Pelvic exenterations for gynecological malignancies: twenty-year experience at Roswell Park Cancer Institute,” International Journal of Gynecological Cancer, vol. 15, no. 3, pp. 475–482, 2005. View at Publisher · View at Google Scholar · View at Scopus
  18. A. Maggioni, G. Roviglione, F. Landoni et al., “Pelvic exenteration: ten-year experience at the European Institute of Oncology in Milan,” Gynecologic Oncology, vol. 114, no. 1, pp. 64–68, 2009. View at Publisher · View at Google Scholar
  19. T. S. Domes, P. H. D. Colquhoun, B. Taylor, J. I. Izawa, A. A. House, and P. P. W. Luke, “Total pelvic exenteration for rectal cancer: outcomes and prognostic factors,” Canadian Journal of Surgery, vol. 54, no. 6, pp. 387–393, 2011. View at Publisher · View at Google Scholar · View at Scopus
  20. C. Fotopoulou, U. Neumann, R. Kraetschell et al., “Long-term clinical outcome of pelvic exenteration in patients with advanced gynecological malignancies,” Journal of Surgical Oncology, vol. 101, no. 6, pp. 507–512, 2010. View at Publisher · View at Google Scholar
  21. M. Kaur, S. Joniau, A. D'Hoore et al., “Pelvic exenterations for gynecological malignancies: a study of 36 cases,” International Journal of Gynecological Cancer, vol. 22, no. 5, pp. 889–896, 2012. View at Publisher · View at Google Scholar · View at Scopus
  22. T. Benn, R. A. Brooks, Q. Zhang et al., “Pelvic exenteration in gynecologic oncology: a single institution study over 20 years,” Gynecologic Oncology, vol. 122, no. 1, pp. 14–18, 2011. View at Publisher · View at Google Scholar
  23. H. E. Averette, M. Lichtinger, B. U. Sevin, and R. E. Girtanner, “Pelvic exenteration: a 15-year experience in a general metropolitan hospital,” The American Journal of Obstetrics and Gynecology, vol. 150, no. 2, pp. 179–184, 1984. View at Publisher · View at Google Scholar · View at Scopus
  24. J. W. Orr Jr., H. M. Shingleton, K. D. Hatch, P. T. Taylor, E. E. Partridge, and S. J. Soong, “Gastrointestinal complications associated with pelvic exenteration,” The American Journal of Obstetrics and Gynecology, vol. 145, no. 3, pp. 325–332, 1983. View at Google Scholar · View at Scopus
  25. A. Revaux, R. Rouzier, M. Ballester, F. Selle, E. Daraï, and E. Chéreau, “Comparison of morbidity and survival between primary and interval cytoreductive surgery in patients after modified posterior pelvic exenteration for advanced ovarian cancer,” International Journal of Gynecological Cancer, vol. 22, no. 8, pp. 1349–1354, 2012. View at Publisher · View at Google Scholar
  26. H. Tixier, J. Fraisse, B. Chauffert et al., “Evaluation of pelvic posterior exenteration in the management of advanced-stage ovarian cancer,” Archives of Gynecology and Obstetrics, vol. 281, no. 3, pp. 505–510, 2010. View at Publisher · View at Google Scholar · View at Scopus
  27. T. Ueda, F. Koyama, T. Nakagawa et al., “Clinical outcomes of pelvic exenteration for locally advanced primary or recurrent non-colorectal pelvic malignancies,” Gan to Kagaku Ryoho. Cancer & Chemotherapy, vol. 40, no. 12, pp. 2433–2436, 2013. View at Google Scholar
  28. A.-M. Schmidt, P. Imesch, D. Fink, and H. Egger, “Indications and long-term clinical outcomes in 282 patients with pelvic exenteration for advanced or recurrent cervical cancer,” Gynecologic Oncology, vol. 125, no. 3, pp. 604–609, 2012. View at Publisher · View at Google Scholar
  29. M. Jurado, J. L. Alcázar, and R. Martinez-Monge, “Resectability rates of previously irradiated recurrent cervical cancer (PIRCC) treated with pelvic exenteration: is still the clinical involvement of the pelvis wall a real contraindication? A twenty-year experience,” Gynecologic Oncology, vol. 116, no. 1, pp. 38–43, 2010. View at Publisher · View at Google Scholar · View at Scopus
  30. P. Luna-Perez, S. Delgado, S. Labastida, N. Ortiz, D. Rodriguez, and Herrera L., “Patterns of recurrence following pelvic exenteration and external radiotherapy for locally advanced primary rectal adenocarcinoma,” Annals of Surgical Oncology, vol. 3, no. 6, pp. 526–533, 1996. View at Publisher · View at Google Scholar · View at Scopus
  31. A. Bhangu, S. Mohammed Ali, G. Brown, R. J. Nicholls, and P. Tekkis, “Indications and outcome of pelvic exenteration for locally advanced primary and recurrent rectal cancer,” Annals of Surgery, vol. 259, no. 2, pp. 315–322, 2014. View at Publisher · View at Google Scholar · View at Scopus
  32. F. T. J. Ferenschild, M. Vermaas, C. Verhoef et al., “Total pelvic exenteration for primary and recurrent malignancies,” World Journal of Surgery, vol. 33, no. 7, pp. 1502–1508, 2009. View at Publisher · View at Google Scholar