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Related Experiment Video

Updated: May 21, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Total pelvic exenteration for gynecologic malignancies.

Elisabeth J Diver1, J Alejandro Rauh-Hain, Marcela G Del Carmen

  • 1Division of Gynecologic Oncology, Vincent Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Yawkey 9E Boston, MA 02114, USA.

International Journal of Surgical Oncology
|June 22, 2012
PubMed
Summary

Total pelvic exenteration (PE) is a major surgery for advanced gynecologic cancers. Careful patient selection is crucial due to significant complication risks, but PE can be curative for select individuals.

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Area of Science:

  • Gynecologic Oncology
  • Surgical Oncology
  • Pelvic Surgery

Background:

  • Total pelvic exenteration (PE) is a radical surgical procedure involving the en bloc resection of pelvic organs.
  • It is primarily indicated for advanced primary or locally recurrent gynecologic cancers.
  • Comprehensive patient evaluation is essential to exclude unresectable or metastatic disease.

Purpose of the Study:

  • To summarize the indications, patient selection criteria, and potential outcomes of total pelvic exenteration in gynecologic oncology.
  • To highlight the critical importance of careful patient selection and counseling for this extensive surgery.

Main Methods:

  • Review of literature and clinical guidelines pertaining to total pelvic exenteration in gynecologic oncology.
  • Analysis of patient selection parameters and outcomes reported in existing studies.

Related Experiment Videos

Last Updated: May 21, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Main Results:

  • Total pelvic exenteration can be a curative option for carefully selected patients with gynecologic malignancies.
  • Major complications occur in up to 50% of patients undergoing PE.
  • Thorough discussion of risks and benefits is paramount for informed patient consent.

Conclusions:

  • Total pelvic exenteration is a complex procedure reserved for specific cases of advanced or recurrent gynecologic cancer.
  • Meticulous patient selection and pre-operative assessment are critical for optimizing outcomes.
  • The potential for significant morbidity necessitates a comprehensive discussion of risks and benefits with patients.