TY - JOUR
T1 - Complications of Pelvic Exenteration
AU - Jakowatz, James G.
AU - Porudominsky, David
AU - Riihimaki, Daniel U.
AU - Kemeny, Margaret
AU - Kokal, William A.
AU - Braly, Patricia S.
AU - Terz, José J.
AU - Beatty, J. David
PY - 1985/11
Y1 - 1985/11
N2 - This report is based on a retrospective review of 104 patients who had undergone pelvic exenteration for advanced malignancy over a 29-year period (1956 to 1984, inclusive). Fifty-one patients (49%) developed major complications of the operative field involving the gastrointestinal tract (fistula or obstruction), the urinary tract (fistula, infection, or obstruction), or the wound (abscess, dehiscence/necrosis, or hemorrhage). No association was identified between the complication rate and organ of primary disease, extent of disease, tumor histology, or extent of resection. Patients receiving pelvic radiotherapy prior to exenteration had a much higher complication rate (39/58, 67%) than patients having had no radiotherapy (12/46, 26%). Reconstruction of the irradiated pelvis after exenteration by omental flap, colonic advancement, and/or myocutaneous flaps decreased the complication rate from 82% (27/33) to 48% (12/25). The operative mortality of pelvic exenteration was 2.9% and the actuarial five-year survival rate was 27%.
AB - This report is based on a retrospective review of 104 patients who had undergone pelvic exenteration for advanced malignancy over a 29-year period (1956 to 1984, inclusive). Fifty-one patients (49%) developed major complications of the operative field involving the gastrointestinal tract (fistula or obstruction), the urinary tract (fistula, infection, or obstruction), or the wound (abscess, dehiscence/necrosis, or hemorrhage). No association was identified between the complication rate and organ of primary disease, extent of disease, tumor histology, or extent of resection. Patients receiving pelvic radiotherapy prior to exenteration had a much higher complication rate (39/58, 67%) than patients having had no radiotherapy (12/46, 26%). Reconstruction of the irradiated pelvis after exenteration by omental flap, colonic advancement, and/or myocutaneous flaps decreased the complication rate from 82% (27/33) to 48% (12/25). The operative mortality of pelvic exenteration was 2.9% and the actuarial five-year survival rate was 27%.
UR - http://www.scopus.com/inward/record.url?scp=0022243375&partnerID=8YFLogxK
U2 - 10.1001/archsurg.1985.01390350043009
DO - 10.1001/archsurg.1985.01390350043009
M3 - Article
C2 - 4051730
AN - SCOPUS:0022243375
SN - 0004-0010
VL - 120
SP - 1261
EP - 1265
JO - Archives of Surgery
JF - Archives of Surgery
IS - 11
ER -