Pelvic exenteration for locally advanced and recurrent prostate cancer

被引:1
|
作者
Ephraums, James [1 ,2 ,3 ,4 ]
Brown, Kilian G. M. [1 ,2 ,3 ,4 ]
Solomon, Michael J. [1 ,2 ,3 ,4 ]
Austin, Kirk K. S. [1 ,2 ,3 ]
Lee, Peter J. [1 ,2 ,3 ]
Leslie, Scott [3 ,5 ]
Byrne, Chris [1 ,2 ,3 ,4 ]
机构
[1] Royal Prince Alfred Hosp, Dept Colorectal Surg, Sydney, Australia
[2] Royal Prince Alfred Hosp, Surg Outcomes Res Ctr SOuRCe, POB M157,Missenden Rd, Sydney, 2050, Australia
[3] Royal Prince Alfred Hosp, Inst Acad Surg IAS, Sydney, Australia
[4] Univ Sydney, Fac Med & Hlth, Cent Clin Sch, Sydney, NSW, Australia
[5] Royal Prince Alfred Hosp, Dept Urol, Sydney, Australia
来源
EJSO | 2024年 / 50卷 / 07期
关键词
Prostate cancer; Pelvic exenteration; COMPLICATIONS; SURVIVAL;
D O I
10.1016/j.ejso.2024.108384
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Locally advanced or recurrent prostate cancer which invades adjacent pelvic organs, bone or other soft tissue structures is a rare situation. This study aimed to report the outcomes of ten consecutive patients who underwent total pelvic exenteration for prostate cancer at a high -volume specialist centre. Two patients had locally advanced primary tumours, while eight had locally recurrent prostate cancer. Median operating time, blood loss, ICU stay, and hospital stay was 12.2 h (range 9.6 -13.8), 2500 ml (500 -3000), 4.5 days (2 -7) and 36 days (21 -78), respectively. There was no inpatient, 30-day, or 90-day mortality. Six patients developed a ClavienDindo III complication. R0 resection was achieved in eight patients. Median follow up was 16 months (range 2 -77). At last follow up, five patients were alive without disease. These findings suggest that pelvic exenteration for locally advanced and recurrent prostate cancer is safe and represents a potentially curative treatment option for highly selected patients.
引用
收藏
页数:4
相关论文
共 50 条
  • [1] Pelvic exenteration for recurrent and locally advanced rectal cancer
    Hempen, Hans-Guenther
    Raab, Hans-Rudolf
    CHIRURGISCHE GASTROENTEROLOGIE, 2007, 23 (04): : 332 - 339
  • [2] Outcomes of pelvic exenteration for recurrent and primary locally advanced rectal cancer
    Rottoli, Matteo
    Vallicelli, Carlo
    Boschi, Luca
    Poggioli, Gilberto
    INTERNATIONAL JOURNAL OF SURGERY, 2017, 48 : 69 - 73
  • [3] Minimum radial margin in pelvic exenteration for locally advanced or recurrent rectal cancer
    Aiba, Toshisada
    Uehara, Kay
    Tsuyuki, Yuta
    Ogura, Atsushi
    Murata, Yuki
    Mizuno, Takashi
    Yamaguchi, Junpei
    Kokuryo, Toshio
    Yokoyama, Yukihiro
    Ebata, Tomoki
    EJSO, 2022, 48 (12): : 2502 - 2508
  • [4] Pelvic Exenteration for Locally Advanced Vulvar Cancer
    Stoica, Claudia
    Bacalbasa, Nicolae
    Brasoveanu, Vladislav
    Balescu, Irina
    PROCEEDINGS OF THE 35TH BALKAN MEDICAL WEEK, 2018, : 400 - 404
  • [5] Safety and Feasibility of Laparoscopic Pelvic Exenteration for Locally Advanced or Recurrent Colorectal Cancer
    Ichihara, Momoko
    Uemura, Mamoru
    Ikeda, Masataka
    Miyake, Masakazu
    Kato, Takeshi
    Hamakawa, Takuya
    Maeda, Sakae
    Hama, Naoki
    Nishikawa, Kazuhiro
    Miyamoto, Atsushi
    Miyazaki, Michihiko
    Hirao, Motohiro
    Sekimoto, Mitsugu
    SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, 2019, 29 (05): : 389 - 392
  • [6] Total pelvic exenteration for locally advanced and locally recurrent rectal cancer in the elderly
    Hagemans, J. A. W.
    Rothbarth, J.
    Kirkels, W. J.
    Boormans, J. L.
    van Meerten, E.
    Nuyttens, J. J. M. E.
    Madsen, E. V. E.
    Verhoef, C.
    Burger, J. W. A.
    EJSO, 2018, 44 (10): : 1548 - 1554
  • [7] Outcomes of pelvic exenteration for recurrent or primary locally advanced colorectal cancer
    Yang, Hwa Yeon
    Park, Sung Chan
    Hyun, Jong Hee
    Seo, Ho Kyung
    Oh, Jae Hwan
    ANNALS OF SURGICAL TREATMENT AND RESEARCH, 2015, 89 (03) : 131 - 137
  • [8] Pelvic exenteration, a surgical treatment option for locally advanced, primary and recurrent neoplasia
    Musina, Ana-Maria
    Hutanu, Ionut
    Grigore, Mihaela
    Scripcariu, Ioana-Shadiye
    Filip, Bogdan
    Anitei, Maria-Gabriela
    Scripcariu, Dragos-Viorel
    Gavrilescu, Mihaela-Madalina
    Radu, Iulian
    Ioanid, Nicolae
    Pantazescu, Adrian Nicolae
    Hogea, Maximilian
    Panuta, Andrian
    Buna-Arvinte, Mihaela
    Moraru, Gianina-Vanda
    Scripcariu, Viorel
    ROMANIAN JOURNAL OF MORPHOLOGY AND EMBRYOLOGY, 2019, 60 (04): : 1175 - 1182
  • [9] Pelvic exenteration as treatment of recurrent or advanced gynecologic and urologic cancer
    Roos, EJ
    Van Eijkeren, MA
    Boon, TA
    Heintz, APM
    INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER, 2005, 15 (04) : 624 - 629
  • [10] Role of pelvic exenteration in the management of locally advanced primary and recurrent rectal cancer
    Xin K.Y.
    Ng D.W.
    Tan G.H.
    Teo M.C.
    Journal of Gastrointestinal Cancer, 2014, 45 (3) : 291 - 297