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Totale Beckenexenteration

Total pelvic exenteration

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Zusammenfassung

Die totale Beckenexenteration hat sich in den letzten Jahrzehnten zu einem etablierten und sicheren Verfahren zur Resektion lokal fortgeschrittener Beckenmalignome mit 5-Jahres-Überlebensraten von bis zu 66% je nach Tumorentität und mit einer zufriedenstellenden postoperativen Lebensqualität entwickelt. Eine Beckenwandinfiltration oder resektable Fernmetastasen müssen heute keine Kontraindikation für eine Beckenexenteration darstellen; darüber hinaus kann die Beckenexenteration auch zur Palliation indiziert sein. Auch beim Rektumkarzinomrezidiv können gute Ergebnisse erreicht werden. Ein multidisziplinärer Ansatz in Diagnostik und Therapie ist bei diesen Eingriffen von großer Bedeutung, daher sollten sie in dafür spezialisierten Zentren durchgeführt werden.

Abstract

Over the last decades total pelvic exenteration (TPE) has evolved into an established and safe surgical technique for locally advanced pelvic malignancies. Depending on the type of cancer 5 year overall survival rates of up to 66% and a satisfactory postsurgical quality of life have been reported. Currently infiltration of the pelvic side wall and resectable metasases are not necessarily a contraindication to a curative approach; furthermore, TPE can also be useful in palliative surgery. In locally recurrent rectal cancer TPE is the treatment of choice if the tumor is deemed resectable. A multidisciplinary diagnostic and therapeutic approach is of utmost importance, hence patients should be treated in specialized centers.

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  1. Klinik für Allgemein-, Viszeral- und Transplantationschirurgie,Sektion Chirurgische Onkologie, Chirurgische Universitätsklinik, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland

    U. Heger, M. Koch, M.W. Büchler &  J. Weitz MSc

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  1. U. Heger
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  2. M. Koch
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  3. M.W. Büchler
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  4. J. Weitz MSc
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Correspondence to J. Weitz MSc.

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Heger, U., Koch, M., Büchler, M. et al. Totale Beckenexenteration. Chirurg 81, 897–901 (2010). https://doi.org/10.1007/s00104-010-1945-z

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  • DOI: https://doi.org/10.1007/s00104-010-1945-z

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