[Total pelvic exenteration for local advanced rectal carcinoma: analysis of 20 patients]

20 patients of total pelvic extenteration (TPE) were performed from 1989 to 1995 for local advanced rectal carcinoma. The incidence of operative complications was 65% with a mortality of 5%. 19 patients were followed up for 3-42 months, 7 patients died with an average life-span of 14.1 months. It seemed to us that the results of conservative therapy was usually disappointing for local advanced rectal carcinoma and and TPE is the better management of choice for relieving patient's symptoms and improving their survival rates.