title: Pubic Bone Excision and Perineal Urethrectomy for Radical Anterior Compartment Excision During Pelvic Exenteration.
abstract: BACKGROUND
  Malignant infiltration of the pubic bone traditionally is considered inoperable. Consequently, there is little published on surgical approaches to resection of the anterior pelvic bone. En bloc partial or complete pubic bone excision can be performed depending on the degree of involvement.
  
  
  OBJECTIVE
  This article describes our surgical approach of pelvic exenteration with en bloc composite pubic bone excision.
  
  
  METHODS
  The surgical technique describes 2 distinct aspects of the surgery, first, a perineal as opposed to abdominal transection of the urethra, and, second, varying extents of en bloc pubic bone excision.
  
  
  METHODS
  This study was conducted at a tertiary care hospital.
  
  
  METHODS
  Pelvic tumors infiltrating the pubic bone require radical en bloc composite bone resection to achieve an R0 margin that should translate to longer-term survival versus nonoperative treatments.
  
  
  RESULTS
  Results of our study are currently under review.
  
  
  CONCLUSIONS
  As the magnitude of pelvic exenteration surgery continues to evolve for all compartments of the pelvis, malignant infiltration of the anterior pelvic bone should not be considered a contraindication to surgery.
authors.affiliation: 1 Department of Colorectal Surgery, Royal Prince Alfred Hospital and University of Sydney, Sydney, New South Wales, Australia 2 Surgical Outcomes Research Centre, Royal Prince Alfred Hospital and University of Sydney, Sydney, New South Wales, Australia 3 Institute of Academic Surgery, Royal Prince Alfred Hospital and University of Sydney, Sydney, New South Wales, Australia.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Solomon
authors.forename: Kirk K S
authors.initials: KK
authors.lastname: Austin
authors.forename: Lindy
authors.initials: L
authors.lastname: Masya
authors.forename: Peter
authors.initials: P
authors.lastname: Lee
mesh_terms: D006801:Humans; D010385:Pelvic Exenteration / Q000379:methods*; D010386:Pelvic Neoplasms / Q000601:surgery*; D010502:Perineum / Q000601:surgery*; D011630:Pubic Bone / Q000601:surgery*; D014521:Urethra / Q000601:surgery*