Abstract:
BACKGROUND:Patients with recurrent pelvic malignancy have few treatment options, and surgery is fraught with complications. We sought to characterize the relationship between radiographic pelvic volume and postoperative complications after pelvic salvage surgery. METHODS:A retrospective chart review of all patients undergoing pelvic exenteration or abdominoperineal resection for recurrent malignancy between 1998 and 2013 was performed. Preoperative computed tomography was used to determine pelvic volume. RESULTS:Forty-two patients underwent surgery for recurrent rectal (26, 62%), prostate (8, 19%), or anal squamous cell cancer (8, 19%). Thirty-eight patients (90%) suffered complications and there was one (2%) perioperative death. Decreasing pelvic volume was associated with deep or organ space infections (P = .01), sepsis (P = .03), and fistula (P = .05) on univariate analysis. Infections remained significant on multivariate analysis (odds ratio, 1.01; P = .02). CONCLUSIONS:Pelvic salvage surgery for recurrent malignancy is associated with a high complication rate yet low mortality. Decreasing pelvic volume is associated with increasing risk of deep or organ space infections.
journal_name
Am J Surgjournal_title
American journal of surgeryauthors
Jones EL,Jones TS,Paniccia A,Merkow JS,Wells DM,Pearlman NW,McCarter MDdoi
10.1016/j.amjsurg.2014.08.015subject
Has Abstractpub_date
2014-12-01 00:00:00pages
1016-22; discussion 1021-2issue
6eissn
0002-9610issn
1879-1883pii
S0002-9610(14)00451-6journal_volume
208pub_type
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journal_title:American journal of surgery
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journal_title:American journal of surgery
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journal_title:American journal of surgery
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journal_title:American journal of surgery
pub_type: 杂志文章,评审
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更新日期:1988-03-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2014-08-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
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更新日期:1983-05-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章,评审
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更新日期:1977-07-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
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更新日期:1986-04-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/0002-9610(84)90428-8
更新日期:1984-12-01 00:00:00
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更新日期:2015-10-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章,评审
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journal_title:American journal of surgery
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journal_title:American journal of surgery
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journal_title:American journal of surgery
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