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. 1982 Apr;195(4):513–518. doi: 10.1097/00000658-198204000-00022

Pelvic exenteration for locally advanced colorectal carcinoma.

J Boey, J Wong, G B Ong
PMCID: PMC1352537  PMID: 6175286

Abstract

Pelvic exenteration provided worthwhile palliation and achieved a cumulative five-year survival rate of 38.8% in 49 patients who had carcinoma of the lower colon or rectum infiltrating adjoining pelvic viscera. Survival and the disease-free period were not significantly different after total or posterior exenteration. The stage of disease was the major determinant of outcome: five-year survival rates averaged 51.8% and 28.8% for Stages II and III, respectively. Hospital mortality (26.9%) after total exenteration was chiefly due to technical mishaps, and the inclusion of many high-risk but symptomatic elderly patients. Complete clearance of locally advanced colorectal cancer by pelvic exenteration is indicated in fit patients, especially those with Stage II disease.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. APPLEBY L. H. Proctocystectomy; the management of colostomy with ureteral transplants. Am J Surg. 1950 Jan;79(1):57-60, illust. doi: 10.1016/0002-9610(50)90192-9. [DOI] [PubMed] [Google Scholar]
  2. BACON H. E., ZUBER W. F. PANHYSTERECTOMY CONCOMITANT WITH BOWEL RESECTION FOR CARCINOMA: 75 CASES. Surgery. 1965 Mar;57:370–376. [PubMed] [Google Scholar]
  3. BERKSON J., GAGE R. P. Calculation of survival rates for cancer. Proc Staff Meet Mayo Clin. 1950 May 24;25(11):270–286. [PubMed] [Google Scholar]
  4. BLOCK I. R., ENQUIST I. F. A MORE RADICAL RESECTION FOR CARCINOMA OF THE RECTUM IN THE FEMALE. Surg Gynecol Obstet. 1964 Dec;119:1328–1332. [PubMed] [Google Scholar]
  5. BRICKER E. M., BUTCHER H. R., Jr, LAWLER W. H., Jr, McAFEE C. A. Surgical treatment of advanced and recurrent cancer of the pelvic viscera: an evaluation of ten years experience. Ann Surg. 1960 Sep;152:388–402. doi: 10.1097/00000658-196009000-00004. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. BRUNSCHWIG A., DANIEL W. Pelvic exenteration operations: with summary of sixty-six cases surviving more than five years. Ann Surg. 1960 Apr;151:571–576. doi: 10.1097/00000658-196004000-00018. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. BUTCHER H. R., Jr, SPJUT H. J. An evaluation of pelvic exenteration for advanced carcinoma of the lower colon. Cancer. 1959 Jul-Aug;12(4):681–687. doi: 10.1002/1097-0142(195907/08)12:4<681::aid-cncr2820120409>3.0.co;2-2. [DOI] [PubMed] [Google Scholar]
  8. Barber H. R. Relative prognostic significance of preoperative and operative findings in pelvic exenteration. Surg Clin North Am. 1969 Apr;49(2):431–447. doi: 10.1016/s0039-6109(16)38800-4. [DOI] [PubMed] [Google Scholar]
  9. Beart R. W., Jr, van Heerden J. A., Beahrs O. H. Evolution in the pathologic staging of carcinoma of the colon. Surg Gynecol Obstet. 1978 Feb;146(2):257–259. [PubMed] [Google Scholar]
  10. Block G. E., Enker W. E. Survival after operations for rectal carcinoma in patients over 70 years of age. Ann Surg. 1971 Sep;174(3):521–529. doi: 10.1097/00000658-197109000-00018. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Clarke D. N., Jones P. F., Needham C. D. Outcome in colorectal carcinoma: seven-year study of a population. Br Med J. 1980 Feb 16;280(6212):431–435. doi: 10.1136/bmj.280.6212.431. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Deckers P. J., Olsson C., Williams L. A., Mozden P. J. Pelvic exenteration as palliation of malignant disease. Am J Surg. 1976 Apr;131(4):509–515. doi: 10.1016/0002-9610(76)90166-5. [DOI] [PubMed] [Google Scholar]
  13. Eckhauser F. E., Lindenauer S. M., Morley G. W. Pelvic exenteration for advanced rectal carcinoma. Am J Surg. 1979 Sep;138(3):412–414. doi: 10.1016/0002-9610(79)90274-5. [DOI] [PubMed] [Google Scholar]
  14. Enker W. E., Laffer U. T., Block G. E. Enhanced survival of patients with colon and rectal cancer is based upon wide anatomic resection. Ann Surg. 1979 Sep;190(3):350–360. doi: 10.1097/00000658-197909000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Ingiulla W., Cosmi E. V. Pelvic exenteration for advanced carcinoma of the cervix. Some reflections on 241 cases. Am J Obstet Gynecol. 1967 Dec 15;99(8):1083–1086. doi: 10.1016/0002-9378(67)90347-x. [DOI] [PubMed] [Google Scholar]
  16. Kiselow M., Butcher H. R., Jr, Bricker E. M. Results of the radical surgical treatment of advanced pelvic cancer: a fifteen-year study. Ann Surg. 1967 Sep;166(3):428–436. [PMC free article] [PubMed] [Google Scholar]
  17. Lee E. T., Desu M. M. A computer program for comparing K samples with right-censored data. Comput Programs Biomed. 1972 Nov;2(4):315–321. doi: 10.1016/0010-468x(72)90019-0. [DOI] [PubMed] [Google Scholar]
  18. McSherry C. K., Cornell G. N., Glenn F. Carcinoma of the colon and rectum. Ann Surg. 1969 Apr;169(4):502–509. doi: 10.1097/00000658-196904000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Moossa A. R., Ree P. C., Marks J. E., Levin B., Platz C. E., Skinner D. B. Factors influencing local recurrence after abdominoperineal resection for cancer of the rectum and rectosigmoid. Br J Surg. 1975 Sep;62(9):727–730. doi: 10.1002/bjs.1800620913. [DOI] [PubMed] [Google Scholar]
  20. Morson B. C., Vaughan E. G., Bussey H. J. Pelvic Recurrence after Excision of Rectum for Carcinoma. Br Med J. 1963 Jul 6;2(5348):13–18. doi: 10.1136/bmj.2.5348.13. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Pilepich M. V., Munzenrider J. E., Tak W. K., Miller H. H. Preoperative irradiation of primarily unresectable colorectal carcinoma. Cancer. 1978 Sep;42(3):1077–1081. doi: 10.1002/1097-0142(197809)42:3<1077::aid-cncr2820420307>3.0.co;2-e. [DOI] [PubMed] [Google Scholar]
  22. Quan S. H., Sehdev M. K. Pelvic surgery concomitant with bowel resection for carcinoma. Surg Clin North Am. 1974 Aug;54(4):881–886. doi: 10.1016/s0039-6109(16)40393-2. [DOI] [PubMed] [Google Scholar]
  23. Symmonds R. E., Pratt J. H., Webb M. J. Exenterative operations: experience with 198 patients. Am J Obstet Gynecol. 1975 Apr 1;121(7):907–918. doi: 10.1016/0002-9378(75)90908-4. [DOI] [PubMed] [Google Scholar]
  24. Veazey P. R., McBride C. M. Pelvic recurrence of cancer after abdominoperineal resection of the rectum. South Med J. 1979 Dec;72(12):1545-7, 1553. doi: 10.1097/00007611-197912000-00016. [DOI] [PubMed] [Google Scholar]
  25. WANG C. C., SCHULZ M. D. The role of radiation therapy in the management of carcinoma of the sigmoid, rectosigmoid, and rectum. Radiology. 1962 Jul;79:1–5. doi: 10.1148/79.1.1. [DOI] [PubMed] [Google Scholar]
  26. Welch J. P., Donaldson G. A. The clinical correlation of an autopsy study of recurrent colorectal cancer. Ann Surg. 1979 Apr;189(4):496–502. doi: 10.1097/00000658-197904000-00027. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Wong J., Ong G. B. Colorectal carcinoma in Hong Kong. Aust N Z J Surg. 1978 Apr;48(2):171–174. doi: 10.1111/j.1445-2197.1978.tb07297.x. [DOI] [PubMed] [Google Scholar]
  28. Wood D. A., Robbins G. F., Zippin C., Lum D., Stearns M. Staging of cancer of the colon and cancer of the rectum. Cancer. 1979 Mar;43(3):961–968. doi: 10.1002/1097-0142(197903)43:3<961::aid-cncr2820430327>3.0.co;2-w. [DOI] [PubMed] [Google Scholar]

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