Webb M J, Symmonds R E
Obstet Gynecol. 1977 Aug;50(2):166-71.
At the Mayo Clinic, 198 exenterative operations were performed from 1950 through 1971. Although the 5-year survival rate of all patients was 33%, bowel obstruction occurred in 11.6% of patients and intestinal fistula formation in 12.6%. The majority of patients with these complications had had previous pelvic irradiation. The difficulty in dealing with the large raw area in the pelvis is discussed with a review of the various methods that have been tried to date to reperitonealize the pelvis and thereby, it is hoped, prevent adhesions or fistula formation.
1950年至1971年间，梅奥诊所进行了198例盆腔脏器清除术。尽管所有患者的5年生存率为33%，但11.6%的患者发生了肠梗阻，12.6%的患者形成了肠瘘。这些并发症的大多数患者既往接受过盆腔放疗。文中讨论了处理盆腔大面积创面的困难，并回顾了迄今为止为使盆腔再腹膜化从而有望预防粘连或瘘形成而尝试的各种方法。
