Bladder preserving robotic pelvic exenteration for locally advanced rectal cancer‐technique and short‐term outcomes

Aim In selected patients with advanced rectal cancers involving the prostate or seminal vesicles, the bladder can be preserved to avoid the complications associated with an ileal conduit. The study was aimed at reviewing the technique and short‐term outcomes of patients that underwent bladder sparin...

Full description

Saved in:
Bibliographic Details
Published inJournal of surgical oncology Vol. 125; no. 3; pp. 493 - 497
Main Authors Jaganmurugan, Ramamurthy, Kazi, Mufaddal, Sukumar, Vivek, Gori, Jayesh, Prakash, Gagan, Pal, Mahendra, Bakshi, Ganesh, Souza, Ashwin, Saklani, Avanish
Format Journal Article
LanguageEnglish
Published United States Wiley Subscription Services, Inc 01.03.2022
Subjects
abdominoperineal resection
Adult
Aged
Bladder
Cohort Studies
Colorectal cancer
Cystostomy - methods
Humans
Length of Stay
Male
Middle Aged
Pelvic Exenteration - methods
Proctectomy - methods
prostatectomy
Prostatectomy - methods
Rectal Neoplasms - pathology
Rectal Neoplasms - surgery
Robotic surgery
Robotic Surgical Procedures - methods
suprapubic cystostomy
Treatment Outcome
Urological surgery
suprapubic cystostomy
abdominoperineal resection
prostatectomy
Online AccessGet full text

Cover

More Information
Summary:Aim In selected patients with advanced rectal cancers involving the prostate or seminal vesicles, the bladder can be preserved to avoid the complications associated with an ileal conduit. The study was aimed at reviewing the technique and short‐term outcomes of patients that underwent bladder sparing robotic pelvic exenteration with suprapubic cystostomy (SPC). Methods Case series of bladder preserving exenteration from a single tertiary care center. Technique for en‐bloc prostatectomy with abdominoperineal resection is described. Results Five patients underwent bladder sparing robotic pelvic exenteration with SPC, all had R0 resections. Four patients had prostatic invasion and one patient had prostatic adenocarcinoma. Postoperative complications were seen in three patients of which two were re‐explored. At a median follow‐up of 10 months, two patients developed systemic relapses. There were no local recurrences. Conclusion Robotic bladder sparing exenteration is technically feasible, provides acceptable short‐term outcomes, and avoids complications of ileal conduit.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0022-4790
1096-9098
DOI:10.1002/jso.26719