Pelvic exenteration: Surgical approaches

Jin Kim

    Research output: Contribution to journalReview articlepeer-review

    11 Citations (Scopus)

    Abstract

    Although the incidence of local recurrence after curative resection of rectal cancer has decreased due to the understanding of the anatomy of pelvic structures and the adoption of total mesorectal excision, local recurrence in the pelvis still remains a significant and troublesome complication. While surgery for recurrent rectal cancer may offer a chance for a cure, conservative management, including radiation and chemotherapy, remain widely accepted courses of treatment. Recent improvement in imaging modalities, perioperative care, and surgical techniques, including bone resection and wound coverage, have allowed for reductions in operative mortality, though postoperative morbidity still remains high. In this review, the techniques, including surgical approaches, employed for management of locally recurrent rectal cancer are highlighted.

    Original languageEnglish
    Pages (from-to)286-293
    Number of pages8
    JournalJournal of the Korean Society of Coloproctology
    Volume28
    Issue number6
    DOIs
    Publication statusPublished - 2012 Dec

    Keywords

    • Local recurrence
    • Pelvic anatomy
    • Rectal neoplasms
    • Surgical technique

    ASJC Scopus subject areas

    • Gastroenterology

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