Acta Scientific Gastrointestinal Disorders (ISSN: 2582-1091)

Case Report Volume 3 Issue 8

Successful Pelvic Exenteration for T4b Rectal Cancer: A Case Report

GZ Bounab1, S Bicha2, H Rahmoune3*, N Boutrid3, R Sayoud1, H Boutrid4 and N Lemdaoui2

1Urology Department, EHS Daksi, Constantine, Algeria
2General Surgery “B” Department, Ben Badis University Hospital of Constantine, Algeria
3LMCVGN Research Laboratory, Setif 1 University, Algeria
4Department of Obstetrics-Gynecology, University Hospital of Babeloued, Algiers-1 University, Algeria

*Corresponding Author: H Rahmoune, LMCVGN Research Laboratory, Setif 1 University, Algeria.

Received: June 13, 2020; Published: July 28, 2020

×

Abstract

Pelvic exenteration (PE) or pelvectomy is defined as radical “En Bloc” resection of two or more contiguous pelvic organs, followed by reconstruction or diversion of visceral functions.
PE was first reported by Brunschwig in 1948 as a particular and radical surgery for advanced and recurrent cancer and considered as "the most radical surgical attack so far described for pelvic cancer". Its broad indications are curative strategies discussed by a multidisciplinary team; PE must be done “En Bloc” with negative margin status.
We report a case of a rectal mucinous carcinoma in a 38 year-old man. The patient benefited radical treatment through total PE with terminal colostomy and urinary diversion (ureterostomy by Bricker's method) with good post-operative outcomes.

Keywords: Pelvic Exenteration; Operative Surgical Procedures; Rectal Neoplasms; Pelvic Neoplasms; Urinary Diversion

×

References

  1. Brunschwig A. “Complete excision of pelvic viscera for advanced carcinoma. A one‐stage abdominoperineal operation with end colostomy and bilateral ureteral implantation into the colon above the colostomy”. Cancer 2 (1948): 177-183.
  2. Chatterjee S., et al. “National trends in total pelvic exenteration for gynecologic malignancies”. American Journal of Obstetrics and Gynecology3 (2016): 395-396.
  3. Pelvic Exenteration.
  4. Brown KG., et al. “Pelvic exenteration surgery: the evolution of radical surgical techniques for advanced and recurrent pelvic malignancy”. Diseases of the Colon and Rectum7 (2017): 745-754.
  5. Quyn AJ., et al. “Palliative pelvic exenteration: clinical outcomes and quality of life”. Diseases of the Colon and Rectum11 (2016): 1005-1010.
  6. Zhao J., et al. “Patterns and prognosis of locally recurrent rectal cancer following multidisciplinary treatment”. World Journal of Gastroenterology: WJG47 (2012): 7015-7020.
  7. Sun Z., et al. “Nutritional risk screening 2002 as a predictor of postoperative outcomes in patients undergoing abdominal surgery: a systematic review and meta-analysis of prospective cohort studies”. PloS One7 (2015): e0132857.
  8. Bozzetti F., et al. “Postoperative complications in gastrointestinal cancer patients: the joint role of the nutritional status and the nutritional support”. Clinical Nutrition6 (2007): 698-709.
  9. Yang TX., et al. “Pelvic exenteration for rectal cancer: a systematic review”. Diseases of the Colon and Rectum4 (2013): 519-531.
  10. Konstantinidis IT., et al. “National postoperative and oncologic outcomes after pelvic exenteration for T4b rectal cancer”. Journal of Surgical Oncology (2020).
×

Citation

Citation: H Rahmoune. et al. “Successful Pelvic Exenteration for T4b Rectal Cancer: A Case Report”Acta Scientific Gastrointestinal Disorders 3.8 (2020): 35-38.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
Impact Factor0.622

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is April 25, 2021.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US