caa a22 4500 477125247 CHVBK 20180405111647.0 cr unu---uuuuu 170330e19970401xx s 000 0 eng 10.1007/BF02505321 doi (NATIONALLICENCE)springer-10.1007/BF02505321 Pelvic exenteration for the treatment of gynecological malignancies [Elektronische Daten] [F. Numa, H. Ogata, Y. Suminami, N. Tsunaga, Y. Nakamura, H. Tamura, N. Takasugi, H. Kato, A. Tangoku, T. Uchiyama, M. Oka, T. Suzuki, M. Yamamoto, K. Naito] Twenty-three patients undergoing pelvic exenteration for primary and recurrent gynecological malignancies from 1976 to 1994 are reported. Fifteen patients underwent total pelvic exenteration, 3 underwent anterior exenteration, and 5 underwent a posterior procedure. Eight patients had exenteration as their primary treatment (primary group), and 15 underwent exenteration as secondary treatment (recurrent group). In the primary group, two patients developed recurrence and died of it at 6 and 20 months after operation. Five patients are still being followed up and are alive without disease. Four of these 5 patients have survived more than 5 years. In the recurrent group, 12 patients were followed up and three died of complications during the early years. Seven patients died of cancer with the mean survival time of 16.6 months. The mean age, average operating time, and mean blood loss in the primary and recurrent groups were 57 vs. 53 years, 8 hours and 20 min vs. 8 hours and 10 min, and 4,120 vs. 4,190 ml, respectively. The overall cumulative 5-year survival rate was 34.7%, being 68.6% in the primary group and 16.7% in the recurrent group. It is noteworthy that the 5-year survival rate was 51.3% in the patients who had surgical margins free of disease. In conclusion, pelvic exenteration should be considered an acceptable therapeutic option when appropriately selected. Springer-Verlag, 1997 Pelvic exenteration nationallicence Primary and recurrent gynecological malignancies nationallicence Numa F. Department of Obstetrics and Gynecology, Yamaguchi University School of Medicine, 755, 1144 Kogushi Ube, Japan aut Ogata H. Department of Obstetrics and Gynecology, Yamaguchi University School of Medicine, 755, 1144 Kogushi Ube, Japan aut Suminami Y. Department of Obstetrics and Gynecology, Yamaguchi University School of Medicine, 755, 1144 Kogushi Ube, Japan aut Tsunaga N. Department of Obstetrics and Gynecology, Yamaguchi University School of Medicine, 755, 1144 Kogushi Ube, Japan aut Nakamura Y. Department of Obstetrics and Gynecology, Yamaguchi University School of Medicine, 755, 1144 Kogushi Ube, Japan aut Tamura H. Department of Obstetrics and Gynecology, Yamaguchi University School of Medicine, 755, 1144 Kogushi Ube, Japan aut Takasugi N. Department of Obstetrics and Gynecology, Yamaguchi University School of Medicine, 755, 1144 Kogushi Ube, Japan aut Kato H. Department of Obstetrics and Gynecology, Yamaguchi University School of Medicine, 755, 1144 Kogushi Ube, Japan aut Tangoku A. Surgery II, Yamaguchi University School of Medicine, Kogushi Ube, Japan aut Uchiyama T. Surgery II, Yamaguchi University School of Medicine, Kogushi Ube, Japan aut Oka M. Surgery II, Yamaguchi University School of Medicine, Kogushi Ube, Japan aut Suzuki T. Surgery II, Yamaguchi University School of Medicine, Kogushi Ube, Japan aut Yamamoto M. Urology, Yamaguchi University School of Medicine, Kogushi Ube, Japan aut Naito K. Urology, Yamaguchi University School of Medicine, Kogushi Ube, Japan aut Archives of Gynecology and Obstetrics Springer-Verlag 259/3(1997-04-01), 133-138 0932-0067 259:3<133 1997 259 404 https://doi.org/10.1007/BF02505321 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02505321 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Numa F. Department of Obstetrics and Gynecology, Yamaguchi University School of Medicine, 755, 1144 Kogushi Ube, Japan aut NATIONALLICENCE 700 1- Ogata H. Department of Obstetrics and Gynecology, Yamaguchi University School of Medicine, 755, 1144 Kogushi Ube, Japan aut NATIONALLICENCE 700 1- Suminami Y. Department of Obstetrics and Gynecology, Yamaguchi University School of Medicine, 755, 1144 Kogushi Ube, Japan aut NATIONALLICENCE 700 1- Tsunaga N. Department of Obstetrics and Gynecology, Yamaguchi University School of Medicine, 755, 1144 Kogushi Ube, Japan aut NATIONALLICENCE 700 1- Nakamura Y. Department of Obstetrics and Gynecology, Yamaguchi University School of Medicine, 755, 1144 Kogushi Ube, Japan aut NATIONALLICENCE 700 1- Tamura H. Department of Obstetrics and Gynecology, Yamaguchi University School of Medicine, 755, 1144 Kogushi Ube, Japan aut NATIONALLICENCE 700 1- Takasugi N. Department of Obstetrics and Gynecology, Yamaguchi University School of Medicine, 755, 1144 Kogushi Ube, Japan aut NATIONALLICENCE 700 1- Kato H. Department of Obstetrics and Gynecology, Yamaguchi University School of Medicine, 755, 1144 Kogushi Ube, Japan aut NATIONALLICENCE 700 1- Tangoku A. Surgery II, Yamaguchi University School of Medicine, Kogushi Ube, Japan aut NATIONALLICENCE 700 1- Uchiyama T. Surgery II, Yamaguchi University School of Medicine, Kogushi Ube, Japan aut NATIONALLICENCE 700 1- Oka M. Surgery II, Yamaguchi University School of Medicine, Kogushi Ube, Japan aut NATIONALLICENCE 700 1- Suzuki T. Surgery II, Yamaguchi University School of Medicine, Kogushi Ube, Japan aut NATIONALLICENCE 700 1- Yamamoto M. Urology, Yamaguchi University School of Medicine, Kogushi Ube, Japan aut NATIONALLICENCE 700 1- Naito K. Urology, Yamaguchi University School of Medicine, Kogushi Ube, Japan aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 259/3(1997-04-01), 133-138 0932-0067 259:3<133 1997 259 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer