• Michael J Solomon, Kirk K S Austin, Lindy Masya, and Peter Lee.
• 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.
• Dis. Colon Rectum. 2015 Nov 1; 58 (11): 1114-9.

BackgroundMalignant 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.ObjectiveThis article describes our surgical approach of pelvic exenteration with en bloc composite pubic bone excision.DesignThe 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.SettingsThis study was conducted at a tertiary care hospital.Main Outcome MeasuresPelvic 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.ResultsResults of our study are currently under review.ConclusionsAs 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.

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