POSSIBILITIES OF URINARY TRACT RECONSTRUCTION AFTER TOTAL SMALL PELVIC EXENTERATIONS IN PATIENTS WITH LOCALLY ADVANCED PRIMARY AND RECURRENT RECTAL TUMORS

L. O. Petrov; Петров Л. О.; B. Ya. Alekseev; Алексеев Б. Я.; D. V. Sidorov; Сидоров Д. В.; A. V. Butenko; Бутенко А. В.; N. A. Grishin; Гришин Н. А.; M. V. Lozhkin; Ложкин М. В.; A. A. Troitskiy; Троицкий А. А.; O. A. Mainovskaya; Майновская О. А.; V. I. Chissov; Чиссов В. И.

doi:10.17650/1726-9776-2011-7-1-95-100

POSSIBILITIES OF URINARY TRACT RECONSTRUCTION AFTER TOTAL SMALL PELVIC EXENTERATIONS IN PATIENTS WITH LOCALLY ADVANCED PRIMARY AND RECURRENT RECTAL TUMORS

Authors: Petrov L.O.¹, Alekseev B.Y.¹, Sidorov D.V.¹, Butenko A.V.¹, Grishin N.A.¹, Lozhkin M.V.¹, Troitskiy A.A.¹, Mainovskaya O.A.¹, Chissov V.I.¹
Affiliations:
1. P.A. Herzen Moscow Oncology Research Institute, Russian Agency for Health Care
Issue: Vol 7, No 1 (2011)
Pages: 95-100
Section: DIAGNOSIS AND TREATMENT OF URINARY SYSTEM TUMORS
Published: 30.03.2011
URL: https://oncourology.abvpress.ru/oncur/article/view/118
DOI: https://doi.org/10.17650/1726-9776-2011-7-1-95-100
ID: 118

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Abstract

The investigators analyzed the world literature on and the immediate and late results of 14 total small pelvic exenterations with different urinary tract reconstruction modalities. Postoperative complications occurred in 57.1 % of patients; postoperative mortality was 7.1 %. Late results were followed up in 12 patients. Overall survival at 10 to 48 months after surgery (median 26 months) was 83.3 %; relapse-free survival was 75 %. Urine derivation was made via orthotopic bladder plasty in 5 patients, Bricker operation in 6, and bilateral ureterocutaneostomy in 3. Functional results were regarded as good in all the patients after orthotopic bladder plasty. Thus, adequate urinary tract reconstruction allows one to expect the quality of life to be better without a negative impact on oncological results.

Keywords

small pelvic exenterations, rectal cancer, urinary tract reconstruction

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POSSIBILITIES OF URINARY TRACT RECONSTRUCTION AFTER TOTAL SMALL PELVIC EXENTERATIONS IN PATIENTS WITH LOCALLY ADVANCED PRIMARY AND RECURRENT RECTAL TUMORS

Full Text

Abstract

Keywords

About the authors

References

Supplementary files