Related Experiment Video
Updated: Aug 21, 2026
Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
Pelvic exenteration and sphincter preservation in the treatment of soft tissue sarcomas
A Lopes1, A H O Poletto, A L Carvalho
1Pelvic Surgery Department, Centro de tratamento e pesquisa Hospital do Cancer-A.C. Camargo, Rua Professor Antonio Prudente, 211, Liberdade, 01509-010-São Paulo, SP, Brazil. lopesa@uol.com.br
Background:
Pelvic sarcomas are rare and there are very few effective therapeutic alternatives. A complete resection is considered the main factor associated to a good prognosis, which justifies the employment of a pelvic exenteration (PE) in selected cases.
Methods:
Between 1980 and 2000, 96 PE were performed, nine of which were for sarcomas. The clinical characteristics, surgical and anatomopathological aspects and the patients' evolution were described.
Results:
The median follow-up time was 24 months (ranging from 1 to 57 months). In relation to the sphincters preservation, at least one sphincter was preserved in five patients. There were two post-operative deaths. In the last follow-up, six patients were alive without any evidence of the disease.
Conclusion:
Pelvic exenterations should be performed for the treatment of selected cases of locally advanced pelvic sarcomas. Sphincter preservation may be performed, provided that oncological resection principles are obeyed.
