Abstract The operation of exenteration of all pelvic viscera with urinary and fecal diversion has been under critical evaluation for the past several years. Since July, 1947, a total of 118 such operations have been performed by us in St. Louis for various lesions (Table 1). Previous publications* have included patients operated upon at the Ellis Fischel State Cancer Hospital at Columbia, Mo., by Dr. John Modlin and Dr. Henry Schwarz. This study does not include these patients. Following the lead of Brunschwig and others,† advanced carcinoma of the cervix and other lesions of the female genital tract were added to the study in April, 1950. It is the purpose of this report to add our own current evaluation of this procedure to those appearing in the literature in recent years.‡ The operation has been described previously § and is performed in the same manner at the present time. The essential References 1. References 3 and 5. 2. References 7, 8, 9, and 12. 3. References 10, 11, and 13. 4. References 3 and 6. 5. References 4 and 5. 6. References 4 and 5. 7. Appleby, L. H.: Proctocystectomy: Management of Colostomy with Ureteral Transplants , Am. J. Surg. 79:57-60, 1950.Crossref 8. Bricker, E. M., and Eiseman, B.: Bladder Reconstruction from Cecum and Ascending Colon Following Resection of Pelvic Viscera , Ann. Surg. 132:77-84, 1950.Crossref 9. Bricker, E. M., and Modlin, J.: Role of Pelvic Evisceration in Surgery , Surgery 30:76-94, 1951. 10. Bricker, E. M.: Functional Results of Small Intestinal Segments as Bladder Substitutes Following Pelvic Evisceration , Surgery 32:372-383, 1952. 11. Bricker, E. M.; Butcher, H., and McAfee, C. A.: Late Results of Bladder Substitution with Isolated Ileal Segments , Surg. Gynec. & Obst. 99:469-482, 1954. 12. Bricker, E. M.: Total Exenteration of the Pelvic Organs , in Meigs, J. V.: Surgical Treatment of Cancer of the Cervix , Grune & Stratton, Inc., 1954, pp. 349-374. 13. Brintnall, E. S., and Flocks, R. H.: En Masse "Pelvic Viscerectomy" with Ureterointestinal Anastomosis , Arch. Surg. 61:851-864, 1950. 14. Brunschwig, A.: Complete Excision of Pelvic Viscera for Advanced Carcinoma , Cancer 1:177-183, 1948. 15. Brunschwig, A., and Pierce, V. K.: Partial and Complete Pelvic Exenteration: Progress Report Based upon the First 100 Operations , Cancer 3:972-974, 1950. 16. Brunschwig, A., and Daniel, W.: Total and Anterior Pelvic Exenteration: I. Report of Results Based on 315 Operations , Surg. Gynec. & Obst. 99:324-330, 1954. 17. Brunschwig, A., and Daniel, W.: Radical Surgical Treatment of Cancer of the Cervix, Recurrent Years After Radiation Therapy , Cancer 8:1251-1253, 1955. 18. Parsons, L., and Bell, J. W.: Evaluation of the Pelvic Exenteration Operation , Cancer 3:205-213, 1950. 19. Parsons, L., and Taymor, M.: Longevity Following Pelvic Exenteration for Carcinoma of the Cervix , Am. J. Obst. & Gynec. 70:774-785, 1955.
A.M.A. Archives Surgery – American Medical Association
Published: Oct 1, 1956
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