Solomon Michael J, Austin Kirk K S, Masya Lindy, Lee Peter
1 Department of Colorectal Surgery, Royal Prince Alfred Hospital and University of Sydney, Sydney, New South Wales, Australia 2 Surgical Outcomes Research Centre, Royal Prince Alfred Hospital and University of Sydney, Sydney, New South Wales, Australia 3 Institute of Academic Surgery, Royal Prince Alfred Hospital and University of Sydney, Sydney, New South Wales, Australia.
Dis Colon Rectum. 2015 Nov;58(11):1114-9. doi: 10.1097/DCR.0000000000000479.
Malignant infiltration of the pubic bone traditionally is considered inoperable. Consequently, there is little published on surgical approaches to resection of the anterior pelvic bone. En bloc partial or complete pubic bone excision can be performed depending on the degree of involvement.
This article describes our surgical approach of pelvic exenteration with en bloc composite pubic bone excision.
The surgical technique describes 2 distinct aspects of the surgery, first, a perineal as opposed to abdominal transection of the urethra, and, second, varying extents of en bloc pubic bone excision.
This study was conducted at a tertiary care hospital.
Pelvic tumors infiltrating the pubic bone require radical en bloc composite bone resection to achieve an R0 margin that should translate to longer-term survival versus nonoperative treatments.
Results of our study are currently under review.
As the magnitude of pelvic exenteration surgery continues to evolve for all compartments of the pelvis, malignant infiltration of the anterior pelvic bone should not be considered a contraindication to surgery.
传统上认为耻骨恶性浸润无法手术切除。因此，关于前盆腔骨切除的手术方法的文献报道很少。根据受累程度可进行整块部分或完全耻骨切除。
本文描述了我们采用整块复合耻骨切除的盆腔脏器切除术的手术方法。
手术技术描述了手术的两个不同方面，第一，经会阴而非经腹横断尿道，第二，不同程度的整块耻骨切除。
本研究在一家三级医疗中心进行。
浸润耻骨的盆腔肿瘤需要进行根治性整块复合骨切除以达到R0切缘，这与非手术治疗相比应能带来更长的生存期。
我们的研究结果目前正在审核中。
随着盆腔脏器切除术对盆腔所有区域的手术范围不断演变，前盆腔骨的恶性浸润不应被视为手术禁忌证。
