[Results of laparoscopic pelvic exenterations]

Area of Science:

• Surgical Oncology
• Pelvic Cancer Treatment
• Minimally Invasive Surgery

Background:

• Advanced primary or recurrent pelvic cancers present significant treatment challenges.
• Pelvic exenteration is a radical surgical option for these complex cases.
• Evaluating surgical techniques is crucial for improving patient outcomes.

Purpose of the Study:

• To analyze clinical outcomes following pelvic exenteration for advanced pelvic cancers.
• To compare outcomes between different pelvic exenteration approaches.
• To assess the impact of surgical technique on patient results.

Main Methods:

• Retrospective analysis of 35 patients undergoing pelvic exenteration.
• Inclusion of patients with gynecological, urologic, and colon cancers.
• Data collection on intraoperative, postoperative, and oncological outcomes.

Main Results:

• High rate of negative resection margins (R0) achieved in 91.43% of cases.
• Low incidence of major postoperative complications (8.57%).
• Variable survival rates observed across different cancer types, with 1-year survival at 100% and 2-year survival at 24% for cervical cancer and 100% for bladder cancer.

Conclusions:

• Laparoscopic pelvic exenteration shows promising intra- and postoperative results compared to laparotomy.
• Further research is needed to establish the oncological superiority of the laparoscopic approach.
• Pelvic exenteration remains a viable option for select patients with advanced pelvic malignancies.