Article: [Application of fascial space priority approach for pelvic exenteration].
Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery
2023 Volume 26, Issue 3, Page(s) 290–294
Abstract: Locally advanced tumor with involvement of surrounding tissues and organs is a common situation in pelvic malignancies. Up to 10% of newly diagnosed rectal cancer cases infiltrate to adjacent tissues and organs. Satisfactory resection margins obtained by ...
| Abstract | Locally advanced tumor with involvement of surrounding tissues and organs is a common situation in pelvic malignancies. Up to 10% of newly diagnosed rectal cancer cases infiltrate to adjacent tissues and organs. Satisfactory resection margins obtained by pelvic exenteration can achieve a 5-year survival rate similar to cases that without adjacent tissue invasion. The 5-year survival rate of patients with locally recurrent pelvic malignancies is almost zero if they are treated only with radiotherapy and chemotherapy. To obtain negative margins through pelvic exenteration is the only chance for a long-term survival of these patients. However, pelvic exenteration is a complicated procedure with higher morbidity and mortality. The development of fascia anatomy enables surgeons to have a deeper understanding and comprehensive application of pelvic fasciae. Meanwhile, the improvement of laparoscopic technology provides a clearer view for surgeons and enables the application of minimally invasive techniques in complex pelvic exenteration. The fascial space priority approach is based on the fascia anatomy of pelvis and giving priority to the separation of the pelvic avascular fascial spaces, which provides a reproducible surgical approach for complex pelvic exenteration. |
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| MeSH term(s) | Humans ; Pelvic Exenteration/methods ; Pelvic Neoplasms ; Neoplasm Recurrence, Local/surgery ; Rectal Neoplasms/surgery ; Pelvis/surgery ; Pelvis/pathology ; Retrospective Studies |
| Language | Chinese |
| Publishing date | 2023-03-14 |
| Publishing country | China |
| Document type | English Abstract ; Journal Article |
| ISSN | 1671-0274 |
| ISSN | 1671-0274 |
| DOI | 10.3760/cma.j.cn441530-20221124-00492 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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