Introduction/Background Pelvic exenteration is an ultraradical surgery performed for selected cases in genital tumors. When free surgical margin is achieved, up to 40% 5 year survival is possible in select cases. . We present our 7 year experience in a tertiary hospital setting.
Methodology All patients undergoing pelvic exenteration in Akdemiz University Department of Gynecology was retrospectively evaluated.
Results Totally 7 patients were included. The median age was 68 years. All patients was diagnosed with recurrent or locally advanced cervical cancer. One patient underwent for palliative purposes. All but one was infralevatory exenteration. In all patients at least one complication was experienced. All patients was referred to ICU post-operatively. Major complication was seen in four patients (57%). Four patients required re-operation (57%). In two patients surgical margin was positive and received salvage chemotherapy. Median hospital stay was 29 days. One patients diagnosed with pulmonary emboli. There was two abdominal wound breakdown and two perineal wound dehiscence. Two patients underwent ostomy revision. One patient experienced aorto-jejunal fistula 15 months after exentearion. She was re-operated but succambed to the disease. Two patients are alive without any evidence of disease. Progression free survival was 18 months, five patient died of diesase (one because of Porto-jejunal fistula, one from sepsis 3 months after the surgery who had been operated for palliative purposes).
Conclusion Complications after pelvic exenteration are common. Re-operations and re-admission are also frequently seen. In highly selected patients, when free margins are achieved, long term survival is possible.
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