[Interinnominate abdominal amputation (hemipelvectomy) in treatment of pelvic malignancy]

Cancers of rectum and anus are among most frequent cancers with a tendency of increasing frequency. According to available data, the percentage of surgeries performed during period 1973-1977 was 61%, and during period 1991-1993 78%. From those data it can be seen that the frequency of performed surgical treatments is evidently increasing lately. High percentage of patients suffer from the process that is involving neighbouring organs and tissues, therefore declared as inoperable. In this study we present five cases with malignant tumors of pelvis who were treated during period 1990-2002 with mutilating surgical technique--chemipelvectomy. In all surgical procedures we have used King's and Steelquist's methods. At the same time, these surgical procedures are moving the limits of tumors' inoperability. The survival period for 4 patients was over one year, and 1 patient died due to postoperative embolism. In 1 patient, the wound has healed per secundam. We registered no cases of local recurrence. The new possibilities in the treatment of pelvic tumors which are often declared as inoperable are opened due to the fact that chemipelvectomy is moving the limits of so-called inoperable types of tumors. We believe that it is necessary to open new discussions on this issue because the coming time will offer new possibilities in the surgical treatment of pelvic tumors.