Pelvic Exenteration for Primary and Recurrent Gynecologic Malignancies Is Safe and Achieves Acceptable Long-Term Outcomes

Abstract

Abstract Background: Pelvic exenteration can be performed in selected patients with locally advanced primary or recurrent gynecologic malignancies. However, data on long-term outcomes are scarce. Objective: The aim of this study was to describe the current authors' experience of performing pelvic exenteration in patients with locally advanced primary and recurrent gynecologic malignancies. Materials and Methods: A retrospective study of all patients who underwent pelvic exenterations for gynecologic malignancies from January 1982 to June 2011 was performed. Results: Fifty-nine females (mean age: 54; standard deviation: 13.5 years), underwent pelvic exenteration (24 [40.7%] total, 35 [59.3%] near total) for advanced gynecologic malignancies. Ovarian and cervical cancers were most frequently seen in 27 (45.8%) and 17 (28.8%) patients, respectively. Although there was no inpatient mortality, 26 (44%) patients developed perioperative complications. Urologic complications occurred in 10 (17%) patients. One pat...