Pelvic extrusion in patients with cervical cancer: clinical experience

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Despite the achievements in performing small pelvic exenteration (SPE) in the world oncological practice, it still remains a debatable subject for practicing oncological surgeons. The main reasons for its unpopularity include technical complexity, high incidence of intra- and postoperative complications (60%), high postoperative mortality (30%), and problems in postoperative rehabilitation of patients [1–3]. This article provides an analysis of 20 SPEs (10 anterior; 10 total) in recurrent locally advanced forms of cervical cancer.

Full Text

Restricted Access

About the authors

G. A. Khakimov

Tashkent city Branch of the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology; Nano Medical Clinic

Email: hgg_doc@mail.ru
Uzbekistan, Tashkent; Tashkent

Gulnoz G. Khakimova

Tashkent Pediatric Medical Institute; Nano Medical Clinic

Author for correspondence.
Email: hgg_doc@mail.ru
ORCID iD: 0000-0002-4970-5429

Cand. Sci. (Med.), Associate Professor at the Department of Pediatric Oncology, Oncologist-Chemotherapist

Uzbekistan, Tashkent; Tashkent

K. U. Musurmonov

Tashkent Pediatric Medical Institute; Nano Medical Clinic

Email: hgg_doc@mail.ru
ORCID iD: 0000-0002-6984-4389
Uzbekistan, Tashkent; Tashkent

S. G. Khakimova

Tashkent Pediatric Medical Institute

Email: hgg_doc@mail.ru
ORCID iD: 0000-0002-9491-0413
Uzbekistan, Tashkent

G. P. Orifjonova

Nano Medical Clinic

Email: hgg_doc@mail.ru
ORCID iD: 0000-0003-4576-3223
Uzbekistan, Tashkent

References

  1. Косенко И.А. Хирургическое вмешательство в лечении больных раком шейки матки с неблагоприятным прогнозом. Медицинская панорама. 2007;7:15–17. [Kosenko I.A. Surgical intervention in the treatment of patients with cervical cancer with an unfavorable prognosis. Meditsinskaya panorama. 2007;7:15–7. (In Russ.)].
  2. Marziona F., Torioni H., Abrao F. Exenteracaopelvica no cancer gine-cologico. J Bras Ginecol. 1992;102(9):339–42.
  3. Bricker E.M. Bladder substitution after pelvic evisceration. Surg Clin North Am. 1950;1:17–183. doi: 10.1016/s0039-6109(16)33147-4.
  4. Петровский Б.В. Большая медицинская энциклопедия. М., 1986. Т. 27. С. 562–63. [Petrovsky B.V. Big medical encyclopedia. M., 1986. Vol. 27. P. 562–63. (In Russ.)].
  5. Brunschwig A. Complete excision of pelvic viscera for advanced carcinoma. Cancer. 1948;1:177–83. Doi: 10.1002/ 1097-0142(194807)1:2<177::aid-cncr2820010203>3.0.co;2-a.
  6. Brunschwig A. Pelvic exenteration combined with resection of segments of bony pelvis. Surgery. 1969;65(3):417–20.
  7. Hugh R.K. Treatment and results of recurrent cancer of corpus uteri in patients reseiving anterior and posterior total pelvic exenteration 1947–63. Cancer. 1968;22(5):949–55. doi: 10.1002/1097-0142(196811)22:5<949::aid-cncr2820220509>3.0.co;2-7.
  8. Лихтер М.С., Шелыгин Ю.А., Ачкасов С.И. Мультидисциплинарный подход к лечению больных колоректальным раком с вовлечением органов мочевыделительной системы. Хирургия. Журнал им. Н.И. Пирогова. 2012;12:34–9. [Likhter M.S., Shelygin Yu.A., Achkasov S.I. Multidisciplinary approach to the treatment of patients with colorectal cancer involving the organs of the urinary system. Khirurgiya. Zhurnal im. N.I. Pirogova. 2012;12:34–9. (In Russ.)].
  9. Одарюк Т.С. Эвисцерация таза при местнораспространенном раке прямой кишки и с прорастанием в мочевой пузырь. Хирургия. 1999;7:5–63. [Odaryuk T.S. Evisceration of the pelvis in locally advanced rectal cancer and with invasion into the bladder. Khirurgiya. 1999; 7:5–63. (In Russ.)].
  10. Симонов Н.Н. и др. Эффективность комбинированных резекций и экзентераций органов малого таза как этапа комплексного лечения распространенных злокачественных опухолей прямой кишки и женских гениталий. Вопросы онкологии. 2000;46(2):224–28. [Simonov N.N. Efficiency of combined resections and exenterations of the pelvic organs as a stage in the complex treatment of common malignant tumors of the rectum and female genitalia. Voprosy onkologii. 2000;46(2):224–28. (In Russ.)].
  11. Тимофеев Ю.М. и др. Тотальные эвисцерации малого таза при местно-распространенном раке прямой кишки. Российский онкологический журнал. 2004;5:25–7. [Timofeev Yu.M. Total evisceration of the small pelvis in locally advanced rectal cancer. Rossiiskii onkologicheskii zhurnal. 2004;5:25–7. (In Russ.)].
  12. Ильин К.А., Замятин А.В. Роль эвисцерации в лечении постлучевых рецидивов рака шейки матки на современном этапе. Онкогинекология. 2013;1:43–53. [Ilyin K.A., Zamyatin A.V. The role of evisceration in the treatment of post-radiation relapses of cervical cancer at the present stage. Onkoginekologiya. 2013;1:43–53. (In Russ.)].
  13. Майстренко Н.А., Хватов А.А., Учваткин Г.В. и др. Экзентрация малого таза в лечении местно-распространенных опухолей. Вестник хирургии. 2014;173(6):37–42. [Maistrenko N.A., Khvatov A.A., Uchvatkin G.V. et al. Pelvic exentration in the treatment of locally advanced tumors. Bulletin of Surgery. 2014;173(6):37–42. (In Russ.)].
  14. Grimes W.R., Stratton M. Pelvic Exenteration. [Updated 2022 Oct 3]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan. Available from: https://www.ncbi.nlm.nih.gov/books/NBK563269/
  15. Brunschwig, A. What are the indications and results of pelvic exenteration? JAMA. 1965;194:274–81. doi: 10.1001/jama.194.3.274.
  16. Brown K.G.M., Solomon M.J., Koh C.E. Pelvic Exenteration Surgery: The Evolution of Radical Surgical Techniques for Advanced and Recurrent Pelvic Malignancy. Dis Colon Rectum. 2017;60(7):745–54. doi: 10.1097/DCR.0000000000000839.
  17. Хирш Х.А. Оперативная гинекология. М.: ГЭОТАР Медицина, 1999. 656 c. [Hirsch H.A. Operative gynecology. Moscow: GEOTAR Medicine, 1999. 656 p. (In Russ.)].
  18. Quyn A.J., Solomon M.J., Lee P.M., et al. Palliative Pelvic Exenteration: Clinical Outcomes and Quality of Life. Dis Colon Rectum. 2016;59(11):1005–10. doi: 10.1097/DCR.0000000000000679.
  19. Koh C.E., Solomon M.J., Brown K.G., et al. The Evolution of Pelvic Exenteration Practice at a Single Center: Lessons Learned from over 500 Cases. Dis Colon Rectum. 2017;60(6):627–35. doi: 10.1097/DCR.0000000000000825.
  20. PelvExCollaborative. Pelvic Exenteration for Advanced Nonrectal Pelvic Malignancy. Ann Surg. 2019;270(5):899–905. doi: 10.1097/SLA.0000000000003533.
  21. Waters P.S., Peacock O., Warrier S.K., et al. Evolution of pelvic exenteration surgery- resectional trends and survival outcomes over three decades. Eur J Surg Oncol. 2019;45(12):2325–33. doi: 10.1016/j.ejso.2019.07.015.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2023 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies