| Description |
1 online resource (319 p.) |
| Contents |
Cover -- Title Page -- Copyright Page -- Contents -- List of Contributors -- Preface -- Chapter 1 From Early Pioneers to the PelvEx Collaborative -- Background -- The Pioneers -- Brunschwig's Operation -- Urinary Reconstruction -- The Koenig-Rutzen Bag -- Evolution of the Uretero-Ileal Conduit -- Subspecialization and Partial Exenteration -- Composite Pelvic Exenterations -- Lateral Pelvic Sidewall Resection -- Future Directions -- References -- Chapter 2 The Role of the Multidisciplinary Team in the Management of Locally Advanced and Recurrent Rectal Cancer -- Background |
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Complex Pelvic Cancer MDTM -- Staging, Restaging, and Pathological Assessment -- Staging -- Restaging -- Pathological Assessment -- Complex Cancer MDTM Outcomes -- References -- Chapter 3 Preoperative Assessment of Tumor Anatomy and Surgical Resectability -- Background -- Cancer Anatomy and Resectability -- Radiological Assessment of Cancer Anatomy by MRI -- Case Study -- Radiological Assessment of Metastatic Disease -- References -- Chapter 4 Neoadjuvant Therapy Options for Advanced Rectal Cancer -- Background -- Potential Advantages of TNT -- Potential Disadvantages of TNT |
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Short-Term Outcomes -- Pathological Response -- Long-Term Oncological Outcomes -- Organ Preservation -- Chemotherapy and Compliance -- Novel Chemotherapeutic Agents -- Immunotherapeutics -- Locally Recurrent Rectal Cancer -- Future Developments -- References -- Chapter 5 Preoperative Optimization Prior to Exenteration -- Background -- Clinical Examination -- Laboratory Tests -- Risk Assessment of Morbidity and Mortality -- Preoperative Optimization -- Anemia Management -- Optimization of Nutritional Status -- Mechanical Bowel Preparation and Oral Antibiotic Prophylaxis -- Thromboprophylaxis |
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Stoma Education -- References -- Chapter 6 Patient Positioning and Surgical Technology -- Background -- Operating Room Setup -- General Room Setup -- Adjuncts to Operating Room Setup -- Robotic Room Setup -- Patient Positioning -- Modified Lloyd-Davies -- Jackknife Prone -- Complications Associated with Patient Positioning -- Surgical Equipment and Energy Devices -- References -- Chapter 7 Intraoperative Assessment of Resectability and Operative Strategy -- Background -- The Preoperative Phase -- Planning -- The Intraoperative Stage -- External Examination -- General Laparotomy -- References |
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Chapter 8 Anterior Pelvic Exenteration -- Background -- Diagnostics Specific to Anterior Pelvic Exenteration -- Surgical Procedure -- Anesthesia and Starting the Procedure -- Urological Approach -- Gynecological Approach -- Rectal Cancer -- Ureter Dissection -- Lateral Compartment -- Partial Cystectomy -- Partial Prostatectomy -- Uterus and Vaginal Wall -- Urinary Diversion (Ileal Conduit) -- Urinary Diversion (Colon Conduit) -- Morbidity and Mortality -- Morbidity -- Mortality -- Complications -- Survival -- Quality of Life Following Anterior Pelvic Exenteration -- Sexual Dysfunction |
| Summary |
"For many patients with locally advanced primary or locally recurrent pelvic malignancy, pelvic exenteration (PE), involving radical multivisceral resection of the pelvic organs, represents the best treatment option. The first report of PE was in 1948 by Alexander Brunschwig of the Memorial Hospital (New York City, USA), as a palliative procedure for cervical cancer. 1 Due to high morbidity and mortality rates many considered palliative exenteration too radical, and initially it was performed only in a small number of centers in North America.2 Technologic advancements, surgical innovations and improved perioperative care facilitated the evolution of safer and more radical exenterative techniques for the treatment of advanced gastrointestinal and urogynaecological malignancies.3 Worldwide collaborative data 4, 5 have demonstrated that a negative resection margin is crucial in predicting survival and quality of life after surgery. Carefully selected patients who undergo en-bloc resection of all contiguously involved anatomic structures with R0 resection margins can now expect good long-term survival with acceptable levels of morbidity. 4, 5"-- Provided by publisher |
| Analysis |
Internal Medicine |
|
Medical |
| Notes |
Description based upon print version of record |
|
Urinary Dysfunction |
| Subject |
Pelvis -- Cancer -- Surgery
|
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Pelvis -- Cancer -- Treatment
|
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Pelvis -- Cancer -- Surgery
|
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Pelvis -- Cancer -- Treatment
|
| Form |
Electronic book
|
| Author |
Kelly, Michael E
|
| ISBN |
1119518431 |
|
9781119518433 |
|
