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2008 | 80 | 12 | 688-693

Article title

Exenterative Pelvic Surgery in the Treatment of Female Genital Organ Malignancies


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1 - 12 - 2008
4 - 5 - 2010


  • Department of General and Oncological Surgery, Medical University in Szczecin
  • Department of General and Oncological Surgery, Medical University in Szczecin


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  • Lopez MJ, Barrios L: Evolution of pelvic exenteration. Surg Oncol Clin North Am 2005; 14: 587-606.[Crossref]
  • Spratt JS, Watson FR, Pratt JL: Characteristics of variants of colorectal carcinoma that do not metastasize to lymph nodes. Dis Colon Rectum 1970; 13: 243-46.[PubMed][Crossref]
  • Penalver MA, Barreau G, Sevin BU et al.: Surgery for the treatment of locally recurrent disease. J Natl Cancer Inst Monogr 1996; 21: 117-22.
  • Rutledge FN, Smith JP, Wharton JT et al.: Pelvic exenteration: analysis of 296 patients.Am J Obstet Gynecol 1977; 129(8): 881-90.
  • Hockel M, Dornhofer N: Pelvic exenteration for gynaecological tumors: achievements and unanswered questions. Lancet Oncol 2006; 7: 837-47.[Crossref][PubMed]
  • Morris M, Alvarez R, Kinney W et al.: Treatment of recurrent adenocarcinoma of the endometrium with pelvic exenteration. Gynecol Oncol 1996; 60: 288.[Crossref]
  • Hockel M: Ultra-radical compartmentalized surgery in gynaecological oncology. EJSO 2006; 32: 859-865.[Crossref]
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  • Marnitz S, Kohler Ch i wsp.: Indications for primary and secondary exenterations in patients with cervical cancer. Gynecol Oncol 2006; 103: 1023-30.[Crossref]
  • Deckers PJ, Ketcham AS et al.: Pelvic exenteration for primary carcinoma of the uterine cervix. Obstet Gynecol 1971; 37: 647-59.
  • Scott M, Eisenkop SM, Spirtos NM et al.: "Optimal" cytoreduction for advanced epithelial ovarian cancer: a commentary. Gynecol Oncol 2006; 103: 329-35.
  • Eisenkop SM, Nalick RH et al.: Modified posterior exenteration for ovarian cancer. Obstet Gynecol 1991; 78(5-1): 879-85.
  • Scarabelli C, Gallo A, Franceschi S et al.: Primary cytoreductive surgery with rectosigmid colon resection for patients with advanced epithelial ovarian carcinoma. Cancer 2000; 88(2): 389-97.[Crossref]
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  • Kohler C, Tozzi R, Possover M et al.: Explorative laparoscopy prior to exenterative surgery. Gynecol Oncol 2002; 86: 311-15.[Crossref]
  • Plante M, Roy M: Operative laparoscopy prior to a pelvic exenteration in patients with recurrentcervical cancer. Gynecol Oncol 1998; 69: 94-99.
  • Mirhashemi R, Averette H, Estape R et al.: Low colorectal anastomosis after radical pelvic surgery: a risk factor analysis. Am J Obstet Gynecol 2000; 183(6): 1375-80.
  • Hockel M: Laterally extended endopelvic resection: surgical treatment of infrailiac pelvic wall recurrences of gynecologic malignancies. Am J Obstet Gynecol 1999; 180: 306-12.[Crossref][PubMed]
  • Hockel M: Laterally extended endopelvic resection. Novel surgical treatment of locally recurrent cervical carcinoma involving the pelvis side wall. Gynecol Oncol 2003; 91: 369-77.[PubMed]
  • Karakousis CP: Surgical treatment of locally progressive stage IIIB carcinoma of the cervix: use of the inverted "T" incision. Eur J Obstet Gynecol Reprod Biol 2004; 115: 216-18.[Crossref][PubMed]
  • Stanhope CR, Symmonds RE: Palliative exenteration: what, when and why? Am J Obstet Gynecol 1985; 152: 12-16.[WoS]
  • Brophy PF, Hoffman JP, Eisenberg BL: The role of palliative pelvic exenteration. Am J Surg 1994; 167: 386-90.
  • Magrina JF, Stanhope CR, Weaver AL: Pelvic exenterations: supralevator, infralevator and with vulvectomy. Gynecol Oncol 1997; 64: 130-5.[PubMed][Crossref]
  • Spratt JSJr, Butcher HRJr, Bricker EM: Exenterative surgery of the pelvis. In: Dunphy JE (ed): "Major problems in surgery" Philadelphia, Saunders 1973: 1-186.
  • Lopez MJ: Pelvic exenteration. In: Daly JM, Cady B(eds): Atlas of surgical Oncology". St. Louis, Mosby, Year Book 1993: 555-69.
  • Pomel C, Rouzier R, Pocard et al.: Laparoscopic total pelvic exenteration for cervical cancer relapse. Gynecol Oncol 2003; 91: 616-18.[Crossref]
  • Ferron G, Querlen D et al.: Laparoscopy - assisted vaginal pelvis exenteration. Gynecol Oncol 2006; 100: 551-55.[Crossref]
  • Sevin BU, Koechli OR: Pelvic exenteration. Surg Clin North Am 2001; 81(4): 771-79.[Crossref][PubMed]
  • Bricker EM: Bladder substitution after pelvic exenteration. Surg Clin North Am 1950; 30: 1511-21.
  • Hohenfellner R: Transverse colonic conduit. In: Graham SD, Keane TE, Glenn JF (eds): "Glenn's urologic surgery" 6th Edition: LippincottWilliams Wilkins 2004: 617-22.
  • Husain A, Curtin J et al.: Continent urinary diversion and low-rectal anastomosis in patients undergoing exenterative procedures for recurrent gynecologic malignancies. Gynecol Oncol 2000; 78: 208-11.[Crossref]
  • Silver DF, Ashwell TR: Choices in creating continent urostomies following pelvic exenteration for gynecologic malignancies. Gynecol Oncol 2001; 82: 510-15.[Crossref][PubMed]
  • Miller B, Morris M et al.: Intestinal fistulae formation following pelvic exenteration: a review of the University of Texas M. D. Anderson Cancer Center experience, 1957-1990. Gynecol Oncol 1995; 56: 207-10.
  • Lichtinger M, Averette H et al.: Small bowel complications after supravesical urinary diversion in pelvic exenteration. Gynecol Oncol 1986; 24: 137-42.[Crossref]
  • Orr Jr JW, Shingleton HM et al.: Gastrointestinal complications associated with pelvic exenteration. Am J Obstet Gynecol 1983; 145: 325-32.
  • Jurado M, Bazan A i wsp.: Primary vaginal and pelvic floor re construction at the time of pelvic exenteration: a study of morbidity. Gynecol Oncol 2000; 77: 293-97.[Crossref]
  • Mirhashemi R, Averette HE i wsp.: Vaginal reconstruction at the time of pelvic exenteration: a surgical and psychosexual analysis of techniques. Gynecol Oncol 2002; 87: 39-45.[Crossref]
  • Longmans A, Trimbos JB, van Lent M: The omentoplasty: a neglected ally in gynecologic surgery. Eur J Obstet Gynecol Reprod Biol 1995; 58: 167-71.
  • Micha JP, Goldstein BH i wsp.: Cecal pelvic transposition following total pelvic exenteration. Gynecol Oncol 2004; 94: 589-92.[Crossref]
  • Guimaraes G.C, Baiocchi G et al.: The use of silicone expander and cecal transposition after pelvic exenteration. EJSO 2007; 33: 586-89.[Crossref][WoS]

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