Application of minimally invasive approaches to pelvic exenteration for locally advanced and locally recurrent pelvic malignancy - A narrative review of outcomes in an evolving field

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dc.article.number154158
dc.contributor.authorCasey L.
dc.contributor.authorKong J.C.
dc.contributor.authorWarrier S.K.
dc.contributor.authorLarach J.T.
dc.contributor.authorWaters P.S.
dc.contributor.authorMcCormick J.J.
dc.contributor.authorHeriot A.G.
dc.date.accessioned2025-05-01T10:30:58Z
dc.date.available2025-05-01T10:30:58Z
dc.date.issued2022
dc.description.abstract© 2022 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical OncologyIntroduction: Minimally invasive surgical techniques are being successfully used to treat locally advanced and recurrent pelvic malignancy of colorectal origin. This review aims to describe the application of minimally invasive approaches to pelvic exenteration and compare current reported surgical outcomes. Methods and results: A literature search was performed of PubMed, Google Scholar and EMBASE for studies on pelvic exenteration with locally advanced or recurrent rectal cancer utilising minimally invasive techniques. A total of 22 studies were reviewed, including four case reports describing novel approaches. Discussion: Laparoscopic, robotic and trans-anal total mesenteric excision (TaTME) aided pelvic exenteration methods have recently demonstrated low post-operative morbidity and mortality trends. Minimally invasive methods also have improved rates of R0 resection in modest cohort studies. Hybrid methods have also been proposed to overcome observed technical difficulties such as the narrow male pelvis and obese habitus. There is still limited data beyond case report and small cohort studies on challenging patient groups such as those with recurrent rectal cancer or bony involvement, as a consequence of patient selection for these novel approaches. Conclusion: International, multicentre studies have provided the best opportunity to explore efficacy of these methods on a larger scale. Further research is required into patient selection, safety and long-term outcomes of these approaches within high volume centres practicing beyond the surgical learning curve.
dc.description.funderUCL Myriad High Performance Computing Facility
dc.description.funderNSF
dc.description.funderNational Institutes of Health
dc.description.funderFocused Ultrasound Foundation
dc.description.funderNatural Sciences and Engineering Research Council of Canada
dc.description.funderCanada Foundation for Innovation
dc.description.funderEngineering and Physical Sciences Research Council
dc.description.funderLundbeck Foundation
dc.description.funderBrno University of Technology
dc.description.funderSwiss National Supercomputing Centre
dc.format.extent632 páginas
dc.fuente.origenScopus
dc.identifier.doi10.1016/j.ejso.2022.08.004
dc.identifier.eissn1532-22157
dc.identifier.issn15322157 07487983
dc.identifier.pubmedid36068124
dc.identifier.scieloidS0718-69242020000300109
dc.identifier.scopusidSCOPUS_ID:85137613825
dc.identifier.urihttps://doi.org/10.1016/j.ejso.2022.08.004
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/103689
dc.identifier.wosidWOS:000929659900013
dc.information.autorucEscuela de Medicina; Larach Kattan Jose Tomas; 0000-0001-5242-9456; 131898
dc.issue.numero44
dc.language.isoen
dc.nota.accesoSin adjunto
dc.pagina.final632
dc.pagina.inicio609
dc.relation.ispartofEuropean Journal of Surgical Oncology
dc.revistaEuropean Journal of Surgical Oncology
dc.rightsAcceso cerrado
dc.subjectbudget
dc.subjectConstitution of 1925
dc.subjectfiscal constitution
dc.subjectKemmerer
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods11 Sustainable cities and communities
dc.subject.odspa11 Ciudades y comunidades sostenibles
dc.titleApplication of minimally invasive approaches to pelvic exenteration for locally advanced and locally recurrent pelvic malignancy - A narrative review of outcomes in an evolving field
dc.typeartículo
dc.volumen17
sipa.codpersvinculados131898
sipa.indexScopus
sipa.trazabilidadCarga WOS-SCOPUS;01-05-2025
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