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

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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

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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.
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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.




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