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Related Concept Videos

Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...

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Related Experiment Video

Updated: Jun 5, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
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Navigating Pelvic Anatomy for Exenteration: A Clinical Guide for Radiologists.

Stephanie Nougaret1, Verity Wood2, Phillipe Rouanet3

  • 1Department of Radiology, Montpellier Cancer Institute, Montpellier, France; PINKCC lab, U1194, Montpellier Research Cancer Institute, University of Montpellier, Montpellier, France.

The British Journal of Radiology
|June 3, 2026
PubMed
Summary
This summary is machine-generated.

Pelvic exenteration (PE) requires precise preoperative planning. This review offers an anatomy-driven framework to optimize surgical assessment for pelvic malignancies, improving R0 resection rates.

Keywords:
Interventional/methodsLocalMagnetic Resonance ImagingNeoplasm RecurrencePelvic AnatomyPelvic ExenterationPreoperative PlanningRadiology

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Published on: March 24, 2023

Area of Science:

  • Oncology
  • Radiology
  • Surgical Anatomy

Background:

  • Pelvic exenteration (PE) is a critical treatment for advanced pelvic cancers.
  • Achieving an R0 (microscopically clear) margin is essential for curative intent.
  • Preoperative assessment and multidisciplinary planning are vital for successful PE.

Purpose of the Study:

  • To provide an anatomy-driven framework for optimizing preoperative assessment in pelvic exenteration.
  • To enhance radiological interpretation for surgical decision-making.
  • To improve multidisciplinary communication and patient selection for PE.

Main Methods:

  • A compartment-based anatomical schema (central, anterior, posterior, lateral) is used to map tumor spread.
  • Detailed analysis of radiological findings, including diffusion-weighted MRI for differentiating tumor from fibrosis.
  • Review of critical anatomical structures, reconstructive options, and imaging considerations.

Main Results:

  • The framework aids in assessing technical feasibility and predicting functional outcomes.
  • Specific guidance is provided for radiological reporting, highlighting pearls and pitfalls.
  • Emphasis on differentiating post-treatment changes from residual tumor is crucial.

Conclusions:

  • Structured, compartment-based radiological reporting enhances multidisciplinary communication.
  • Improved patient selection and anticipation of morbidity can increase the likelihood of complete resection.
  • This anatomical approach optimizes planning and outcomes for pelvic exenteration.