The Role of Exenterative Surgery in Advanced Urological Neoplasms

The Role of Exenterative Surgery in Advanced Urological Neoplasms

Pelvic exenterative surgery is both complex and challenging, especially in the setting of locally recurrent disease. In recent decades, improved surgical techniques have facilitated more extensive resection of both locally advanced and recurrent pelvic malignancies, but its role in urological cancer...

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Veröffentlicht in:Current urology 2020-06, Vol.14 (2), p.57-65
Hauptverfasser: Cunneen, Colla, Kelly, Michael, Nason, Gregory, Ryan, Eanna, Creavin, Ben, Winter, Des
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Review
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container_title Current urology
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creator Cunneen, Colla
Kelly, Michael
Nason, Gregory
Ryan, Eanna
Creavin, Ben
Winter, Des
description Pelvic exenterative surgery is both complex and challenging, especially in the setting of locally recurrent disease. In recent decades, improved surgical techniques have facilitated more extensive resection of both locally advanced and recurrent pelvic malignancies, but its role in urological cancer surgery is highly selective. However, it remains an important part of the armamentarium for the management of bladder and prostate cancer cases where there is local invasion into adjacent organs or localized recurrence. Better diagnostics, reconstructive options and centralized care have reduced associated morbidity considerably, and it is still used rarely in palliative settings. Despite this, there is sparse prospective evidence reporting on long-term oncological or quality of life outcomes.
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title The Role of Exenterative Surgery in Advanced Urological Neoplasms
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