[OUTCOME OF PELVIC EXENTERATION FOR LOCALLY ADVANCED CANCER OF THE PELVIC ORGANS]

Area of Science:

• Oncology
• Surgical Oncology
• Gastrointestinal Surgery

Context:

• Locally advanced pelvic organ cancers present significant treatment challenges.
• Pelvic exenteration is a radical surgical option for these advanced cases.
• Data from 2006-2013 at a regional oncology center provides insights into outcomes.

Purpose:

• To analyze the outcomes of pelvic exenteration in patients with locally advanced pelvic cancers.
• To evaluate the oncological effectiveness and safety of this extensive surgical procedure.
• To identify factors influencing survival and complications.

Summary:

• A total of 218 pelvic exenterations were performed between 2006 and 2013.
• Postoperative complications occurred in 31.2% of patients, with a mortality rate of 7.8%.
• Five-year survival rates varied by cancer type, ranging from 32% for bladder cancer to 50% for cervical cancer.

Impact:

• Highlights the complex nature and associated risks of pelvic exenteration.
• Emphasizes the importance of meticulous patient selection for optimizing results.
• Underscores the necessity of a multidisciplinary team approach in managing advanced pelvic malignancies.