Chirurgie; mémoires de l'Académie de chirurgie
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Comparative Study
[Total pelvic exenteration and rectal cancer. Apropos of 20 cases].
The report of a series of 20 patients with the aim of trying to specify the implications of pelvic exenteration for rectal cancer. ⋯ In spite of its aggressive aspect, total pelvic exenteration seems justified in rectal carcinoma when extended to the urinary tract, when it causes major functional disorders, when there are no detectable metastases, and when the tumor has no posterior or lateral fixation. Local tumoral evolution can usually be controlled by pelvic exenteration but prolongation of survival is not demonstrated.