Three Patients who Underwent Total Pelvic Exenteration Involving Functional Preservation by Defecation/Urination Function Reconstruction forLocal Advanced Rectal Cancer with Urinary Organ Infiltration

Suto, Takeshi; Ahiko, Yuka; Yamaga, Ryousuke; Y, Hirata; Seo, Ryouta; Ashino, Kouki; Satô, Toshihiko; Ikeda, Eiichi; Iizawa, Hazime

doi:10.3862/jcoloproctology.70.516

Cited by 1 publication

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“…Another option for restoring native urinary outflow is to perform a pelvic exenteration with a neobladder. This is extremely uncommon with very few case series and high complication rates (urinary tract infection in 66% and urethral fistula/leak in 33%) 12,13 …”

Section: Discussionmentioning

confidence: 99%

Bladder preserving robotic pelvic exenteration for locally advanced rectal cancer‐technique and short‐term outcomes

Ramamurthy

Kazi

Sukumar

et al. 2021

Journal of Surgical Oncology

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Aim In selected patients with advanced rectal cancers involving the prostate or seminal vesicles, the bladder can be preserved to avoid the complications associated with an ileal conduit. The study was aimed at reviewing the technique and short‐term outcomes of patients that underwent bladder sparing robotic pelvic exenteration with suprapubic cystostomy (SPC). Methods Case series of bladder preserving exenteration from a single tertiary care center. Technique for en‐bloc prostatectomy with abdominoperineal resection is described. Results Five patients underwent bladder sparing robotic pelvic exenteration with SPC, all had R0 resections. Four patients had prostatic invasion and one patient had prostatic adenocarcinoma. Postoperative complications were seen in three patients of which two were re‐explored. At a median follow‐up of 10 months, two patients developed systemic relapses. There were no local recurrences. Conclusion Robotic bladder sparing exenteration is technically feasible, provides acceptable short‐term outcomes, and avoids complications of ileal conduit.

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Section: Discussionmentioning

confidence: 99%