249. Bladder sparing technique in partial pelvic exenterations in locally advanced rectal cancer with recto-vaginal and recto-vesical fistulas: The possibility of primary anastomoses and risk factors of their insolvency

Abstract

Background: Pelvic exenteration remains a gold standard for patients with locally advanced rectal cancer complicated with recto-vaginal or recto-vesical fistulas. Bladder preservation and primary colo-anal anastomoses with complete tumor resection is often possible procedure. The reasons of adverse outcomes are the insolvency of urinary or coloanal anastomoses. We set out to determine if bladder sparing operations or primary anastomotic technique can decrease the postoperative morbidity and 5-year survival rate and to identify the main risk factors of anastomotic leakage.