Abstract
Experience with 118 exenterative operations for recurrent malignancy is reported. The most common source of serious complication has been the urinary tract, but in recent years this has been largely obviated through the use of ileal or sigmoid conduits rather than ureterosigmoidostomy. Methods devised to diminish the frequency of postoperative bowel complications have not been consistently successful. With increasing experience, the operative mortality has gradually diminished from 16.7 per cent initially to 2.3 per cent during the past 4 years (among 43 patients). Fifty-four of the 118 patients are eligible for 5 year survival study; 14 (25.9 per cent) are alive and free of disease. Exenterative procedures can provide an appreciable survival of patients harboring recurrent pelvic malignancy.
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