Exclusion of small bowel from pelvis for postoperative radiotherapy for rectal cancer

The pelvis is the preferential site of disease when recurrence occurs after curative resection of rectal cancer. Postoperative adjuvant radiotherapy decreases local recurrence rates for Dukes stages B and C; however, after abdominoperineal or anterior resections, the small bowel descends into the lo...

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Bibliographic Details
Published inJournal of surgical oncology Vol. 35; no. 1; p. 55
Main Authors Bakare, S C, Shafir, M, McElhinney, A J
Format Journal Article
LanguageEnglish
Published United States 01.05.1987
Subjects
Aged
Combined Modality Therapy
Humans
Intestine, Small - radiation effects
Male
Pelvis
Postoperative Care
Radiation Injuries - prevention & control
Radiation Protection - methods
Radiation Tolerance
Rectal Neoplasms - radiotherapy
Rectal Neoplasms - surgery
Surgical Mesh
Suture Techniques
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Summary:The pelvis is the preferential site of disease when recurrence occurs after curative resection of rectal cancer. Postoperative adjuvant radiotherapy decreases local recurrence rates for Dukes stages B and C; however, after abdominoperineal or anterior resections, the small bowel descends into the lower pelvis, and, due to its low tolerance to radiation, optimal doses cannot be safely delivered unless the small bowel can be excluded from the pelvis. This can be achieved by cystopexy and/or by creating a pelvic sling with a knitted polypropylene mesh. Three cases are presented in which radiotherapy was satisfactorily delivered with these techniques.
ISSN:0022-4790
1096-9098
DOI:10.1002/jso.2930350114