Bladder preserving robotic pelvic exenteration for locally advanced rectal cancer‐technique and short‐term outcomes
| Autor: | Mufaddal Kazi, Vivek Sukumar, Avanish Saklani, Gagan Prakash, Ramamurthy Jaganmurugan, Ganesh Bakshi, Mahendra Pal, Ashwin de Souza, Jayesh Gori |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Colorectal cancer medicine.medical_treatment Locally advanced Tertiary care Cohort Studies Robotic Surgical Procedures Prostate medicine Humans Suprapubic cystostomy Aged Prostatectomy Proctectomy Pelvic exenteration Rectal Neoplasms business.industry Abdominoperineal resection General Medicine Length of Stay Middle Aged medicine.disease Pelvic Exenteration Surgery Cystostomy Treatment Outcome medicine.anatomical_structure Oncology business |
| Zdroj: | Journal of Surgical Oncology. 125:493-497 |
| ISSN: | 1096-9098 0022-4790 |
| DOI: | 10.1002/jso.26719 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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