Layer-oriented total pelvic exenteration for locally advanced primary colorectal cancer

Abstract

For primary colorectal cancers for which TPE is indicated, layer-oriented excision was a safe and effective procedure, and it may be recommended as one of the standard surgical approaches in TPE.

A Systematic Review on Overall Survival and Disease-Free Survival Following Total Pelvic Exenteration

“…However, TPE is an invasive procedure and the patients need double stomas for urinary and fecal excretion (Koda et al, 2016). But The opportunity to survive for a long time with less complications and better quality of life is achievable with TPE which is now performed at high volume centers and It is also an alternative method to increase the life expectancy of patients (Yang et al, 2013;Katory et al, 2017;Waters et al, 2019).…”

A systematic review of the pathological determinants of outcome following resection by pelvic exenteration of locally advanced and locally recurrent rectal cancer

“…The influence of nodal disease on outcomes was reported in seven studies (78%), four of which were in patients with LARC (44,46,47,49), and three in patients with LRRC (43,48,50).…”

“…In patients with LARC, all four studies found that positive lymph nodes were a negative prognostic marker although this only reached significance in three studies. (44,46,47,49) Three studies reported the effect of nodal disease in patients with LRRC with 26% of patients overall having positive nodes (n=99/381) (43,48,50). Interestingly the presence of nodal disease appears to have less impact in LRRC than LARC with two of the studies not reporting a significant effect of nodal disease on OS with follow up of 1-2 years (43,48,50).…”

Современные Взгляды На Хирургический Метод Лечения Местнораспространенного Колоректального Рака С Инвазией В Мочевой Пузырь

“…Инвазия рака толстой кишки в мочевой пузырь отмечена в 5-10% случаев [2]. По данным Kobayashi T. частота врастания рака прямой и сигмовидной кишок в мочевой пузырь со-ставляет 4,1%, в тоже время опухоли других лока-лизаций толстой кишки лишь в 0,5% случаев [3].…”