title: [Possibilities of increased radicality in pelvic exenteration].
abstract: OBJECTIVE
  Review of advanced radicality in pelvic exenterations.
  
  
  METHODS
  Review article.
  
  
  METHODS
  Department of Obstetrics and Gynecology, General Faculty Hospital and Ist Medical Faculty of the Charles University, Prague.
  
  
  METHODS
  Review and critical assessment of published data.
  
  
  CONCLUSIONS
  More extensive radicality in pelvic exenterations make possible to use surgical treatment in some cases of lateral recurrences or central recurrences with the attachment to the pelvic side wall. One possible technique is a combination of en bloc exenteration with pelvic bone resection, most frequently sacrum. Experiences in gynecological tumours are so far limited. Laterally extended resection was described in lateral infrailiac pelvic wall recurrences. The only one presented paper related to laterally extended procedures showed a reasonable overall survival of patients; however follow-up is limited.
authors.affiliation: Gynekologicko-porodnická klinika 1. LF UK a VFN, Praha.
authors.forename: D
authors.initials: D
authors.lastname: Cibula
authors.forename: P
authors.initials: P
authors.lastname: Freitag
authors.forename: D
authors.initials: D
authors.lastname: Fischerová
authors.forename: N
authors.initials: N
authors.lastname: Jancárková
authors.forename: J
authors.initials: J
authors.lastname: Sláma
authors.forename: J
authors.initials: J
authors.lastname: Zivný
mesh_terms: D005260:Female; D005833:Genital Neoplasms, Female / Q000601:surgery*; D006801:Humans; D010385:Pelvic Exenteration / Q000379:methods*