caa a22 4500 445308222 CHVBK 20180317142620.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1007/s00404-010-1544-8 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1544-8 Palliative pelvic exenteration for patients with gynecological malignancies [Elektronische Daten] [Gustavo Guimarães, Glauco Baiocchi, Fabio Ferreira, Lillian Kumagai, Carlos Fallopa, Samuel Aguiar, Benedito Rossi, Fernando Soares, Ademar Lopes] Purpose: To evaluate the results of palliative pelvic exenteration in patients with gynecologic tumors. Methods: A retrospective analysis was carried out in 13 patients from January 2000 to December 2007. The procedure was considered palliative because of distant metastatic disease or unresectable pelvic wall disease. Patients presented with bleeding, fistula, malodorous discharge or untreatable pain. Result: Overall complication rate was 38.4%. Mean follow-up time was 8months. Actuarial 2years overall survival was 15.4%. Six patients survived more than 5months and three more than 12months. All achieved symptoms control and favorable impact in quality of life. Two patients are with stable disease after 26 and 28months. Conclusions: Palliative exenteration is a procedure with high morbidity and mortality rates and should only be offered to highly selected patients. The role of exenterative surgery in relieving severe symptoms in patients with incurable disease is yet to be established. Springer-Verlag, 2010 Pelvic exenteration nationallicence Gynecologic neoplasm nationallicence Palliative surgery nationallicence Palliative treatment nationallicence Guimarães Gustavo Department of Pelvic Surgery, A. C. Camargo Cancer Hospital, Rua Prof. Antonio Prudente, 211, Liberdade, 01509-010, São Paulo, SP, Brazil aut Baiocchi Glauco Department of Gynecology, A. C. Camargo Cancer Hospital, Rua Prof. Antonio Prudente, 211, Liberdade, 01509-010, São Paulo, SP, Brazil aut Ferreira Fabio Department of Pelvic Surgery, A. C. Camargo Cancer Hospital, Rua Prof. Antonio Prudente, 211, Liberdade, 01509-010, São Paulo, SP, Brazil aut Kumagai Lillian Department of Gynecology, A. C. Camargo Cancer Hospital, Rua Prof. Antonio Prudente, 211, Liberdade, 01509-010, São Paulo, SP, Brazil aut Fallopa Carlos Department of Gynecology, A. C. Camargo Cancer Hospital, Rua Prof. Antonio Prudente, 211, Liberdade, 01509-010, São Paulo, SP, Brazil aut Aguiar Samuel Department of Pelvic Surgery, A. C. Camargo Cancer Hospital, Rua Prof. Antonio Prudente, 211, Liberdade, 01509-010, São Paulo, SP, Brazil aut Rossi Benedito Department of Pelvic Surgery, A. C. Camargo Cancer Hospital, Rua Prof. Antonio Prudente, 211, Liberdade, 01509-010, São Paulo, SP, Brazil aut Soares Fernando Pathology Department, A. C. Camargo Cancer Hospital, Rua Prof. Antonio Prudente, 211, Liberdade, 01509-010, São Paulo, SP, Brazil aut Lopes Ademar Department of Pelvic Surgery, A. C. Camargo Cancer Hospital, Rua Prof. Antonio Prudente, 211, Liberdade, 01509-010, São Paulo, SP, Brazil aut Archives of Gynecology and Obstetrics Springer-Verlag 283/5(2011-05-01), 1107-1112 0932-0067 283:5<1107 2011 283 404 https://doi.org/10.1007/s00404-010-1544-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1544-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Guimarães Gustavo Department of Pelvic Surgery, A. C. Camargo Cancer Hospital, Rua Prof. Antonio Prudente, 211, Liberdade, 01509-010, São Paulo, SP, Brazil aut NATIONALLICENCE 700 1- Baiocchi Glauco Department of Gynecology, A. C. Camargo Cancer Hospital, Rua Prof. Antonio Prudente, 211, Liberdade, 01509-010, São Paulo, SP, Brazil aut NATIONALLICENCE 700 1- Ferreira Fabio Department of Pelvic Surgery, A. C. Camargo Cancer Hospital, Rua Prof. Antonio Prudente, 211, Liberdade, 01509-010, São Paulo, SP, Brazil aut NATIONALLICENCE 700 1- Kumagai Lillian Department of Gynecology, A. C. Camargo Cancer Hospital, Rua Prof. Antonio Prudente, 211, Liberdade, 01509-010, São Paulo, SP, Brazil aut NATIONALLICENCE 700 1- Fallopa Carlos Department of Gynecology, A. C. Camargo Cancer Hospital, Rua Prof. Antonio Prudente, 211, Liberdade, 01509-010, São Paulo, SP, Brazil aut NATIONALLICENCE 700 1- Aguiar Samuel Department of Pelvic Surgery, A. C. Camargo Cancer Hospital, Rua Prof. Antonio Prudente, 211, Liberdade, 01509-010, São Paulo, SP, Brazil aut NATIONALLICENCE 700 1- Rossi Benedito Department of Pelvic Surgery, A. C. Camargo Cancer Hospital, Rua Prof. Antonio Prudente, 211, Liberdade, 01509-010, São Paulo, SP, Brazil aut NATIONALLICENCE 700 1- Soares Fernando Pathology Department, A. C. Camargo Cancer Hospital, Rua Prof. Antonio Prudente, 211, Liberdade, 01509-010, São Paulo, SP, Brazil aut NATIONALLICENCE 700 1- Lopes Ademar Department of Pelvic Surgery, A. C. Camargo Cancer Hospital, Rua Prof. Antonio Prudente, 211, Liberdade, 01509-010, São Paulo, SP, Brazil aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/5(2011-05-01), 1107-1112 0932-0067 283:5<1107 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer