Total pelvic exenteration combined with sacral resection for primary and recurrent rectal cancer - A report of six cases with special reference to indications and surgical techniques.:A Report of Six Cases with Special Reference to Indications and Surgica

概要

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Primary far advanced and locally recurrent rectal cancer with involvement of the posterior bony pelvis are rarely amenable to conventional resection, including pelvic exenteration. We, have performed total pelvic exenteration combined with sacral resection which permits a complete enbloc excision of pelvic organs, recurrent tumors and the posterior bony pelvis. Six patients were submitted to this procedures. The operation time was seven to 23 hours, aueraging 12.5 hours, and the blood loss averaged 7.800ml, (1.100ml to 26.000ml). The transected level of the sacrum was S2-3 in two patients, S3-4 in one, and S4-5 in one. Four patients are living free of disease at three, six, 10, and 12 months. The other two are living with disease at 13 and 14 months. Although this report concerns a very small series, it suggsts that total pelvic exenteration combined with sacral resection is an adequate and reasonable procedure for locally for advanced primary and recurrent rectal cancer.
日本大腸肛門病学会の論文