Surgical management of advanced pelvic cancer

• Autore: Winter Desmond C
• Pubblicazione: Newark : , : John Wiley & Sons, Incorporated, , 2021; ©2022
• Descrizione fisica: 1 online resource (319 pages)
• Disciplina: 616.99/435059
• Soggetto genere / forma: Electronic books.
• Altri autori: KellyMichael E
• Nota di contenuto: Cover -- Title Page -- Copyright Page -- Contents -- List of Contributors -- Preface -- Chapter 1 From Early Pioneers to the PelvEx Collaborative -- Background -- The Pioneers -- Brunschwig's Operation -- Urinary Reconstruction -- The Koenig-Rutzen Bag -- Evolution of the Uretero-Ileal Conduit -- Subspecialization and Partial Exenteration -- Composite Pelvic Exenterations -- Lateral Pelvic Sidewall Resection -- Future Directions -- References -- Chapter 2 The Role of the Multidisciplinary Team in the Management of Locally Advanced and Recurrent Rectal Cancer -- Background -- Complex Pelvic Cancer MDTM -- Staging, Restaging, and Pathological Assessment -- Staging -- Restaging -- Pathological Assessment -- Complex Cancer MDTM Outcomes -- References -- Chapter 3 Preoperative Assessment of Tumor Anatomy and Surgical Resectability -- Background -- Cancer Anatomy and Resectability -- Radiological Assessment of Cancer Anatomy by MRI -- Case Study -- Radiological Assessment of Metastatic Disease -- References -- Chapter 4 Neoadjuvant Therapy Options for Advanced Rectal Cancer -- Background -- Potential Advantages of TNT -- Potential Disadvantages of TNT -- Short-Term Outcomes -- Pathological Response -- Long-Term Oncological Outcomes -- Organ Preservation -- Chemotherapy and Compliance -- Novel Chemotherapeutic Agents -- Immunotherapeutics -- Locally Recurrent Rectal Cancer -- Future Developments -- References -- Chapter 5 Preoperative Optimization Prior to Exenteration -- Background -- Clinical Examination -- Laboratory Tests -- Risk Assessment of Morbidity and Mortality -- Preoperative Optimization -- Anemia Management -- Optimization of Nutritional Status -- Mechanical Bowel Preparation and Oral Antibiotic Prophylaxis -- Thromboprophylaxis -- Stoma Education -- References -- Chapter 6 Patient Positioning and Surgical Technology -- Background. ; Operating Room Setup -- General Room Setup -- Adjuncts to Operating Room Setup -- Robotic Room Setup -- Patient Positioning -- Modified Lloyd-Davies -- Jackknife Prone -- Complications Associated with Patient Positioning -- Surgical Equipment and Energy Devices -- References -- Chapter 7 Intraoperative Assessment of Resectability and Operative Strategy -- Background -- The Preoperative Phase -- Planning -- The Intraoperative Stage -- External Examination -- General Laparotomy -- References -- Chapter 8 Anterior Pelvic Exenteration -- Background -- Diagnostics Specific to Anterior Pelvic Exenteration -- Surgical Procedure -- Anesthesia and Starting the Procedure -- Urological Approach -- Gynecological Approach -- Rectal Cancer -- Ureter Dissection -- Lateral Compartment -- Partial Cystectomy -- Partial Prostatectomy -- Uterus and Vaginal Wall -- Urinary Diversion (Ileal Conduit) -- Urinary Diversion (Colon Conduit) -- Morbidity and Mortality -- Morbidity -- Mortality -- Complications -- Survival -- Quality of Life Following Anterior Pelvic Exenteration -- Sexual Dysfunction -- Urinary Dysfunction -- General and Mental Health -- References -- Chapter 9 Posterior Pelvic Exenteration -- Background -- Preoperative Assessment -- Intraoperative Decision-Making -- Surgical Technique -- References -- Chapter 10 Total Pelvic Exenteration -- Background -- Indications -- Who Should Be Performing these Procedures? Selecting the Right Team and Plan -- Specialist Centers -- Getting Patients Right - Fitness for Surgery (Prehabilitation) -- Preoperative Planning -- Examination under Anesthesia/Flexible Sigmoidoscopy/Colonoscopy -- Neoadjuvant Therapy -- Surgical Technique -- Uterus and Vagina Involvement -- Anterior Recurrences: Beyond the Normal Planes -- Posterior Compartment and Extended Bony Resections -- Lateral Pelvic Recurrences. ; Intraoperative Radiation Therapy -- Reconstruction -- Adjuncts to Care: Urinary and Sexual Function and Ostomy Placement -- References -- Chapter 11 Extended Exenterative Resections Involving Bone -- Background -- Anatomical Considerations -- Sacral Resection -- High Sacrectomy (S1/S2) Versus Low Sacrectomy (S3 and Below) -- Anterior Pubic Resection -- Lateral Pelvic Resection -- Patient Workup Specific to Bony Resection -- History and Examination -- Radiology -- Anesthetic Assessment -- Multidisciplinary Meeting -- Neoadjuvant treatment -- Operative Technique -- Surgical Approach -- Technique for Sacrectomy -- Reconstruction -- Intraoperative Radiotherapy -- Novel Approaches in Sacrectomy -- Partial Anterior Sacrectomy -- Laparoscopic Sacrectomy -- Outcomes -- References -- Chapter 12 Exenterative Resections Involving Vascular and Pelvic Sidewall Structures -- Background -- Anatomy -- Vascular -- Neurologic -- Urologic and Gynecologic -- Muscular -- Preoperative Evaluation -- Imaging -- Functional Status -- Informed Consent -- Intraoperative Management -- Preparation and Positioning -- Equipment -- Operative Approach -- Postoperative Management -- Complications -- References -- Chapter 13 Extended Exenterative Resections for Recurrent Neoplasm -- Background -- Strategies for Tackling Involvement of Posterior Compartment Including Sacrum -- Low Sacrectomy -- High Sacrectomy -- Perineal Closure -- Strategies for Tackling Involvement of Pelvic Sidewall -- Strategies for Tackling Involvement of Anterior Compartment -- References -- Chapter 14 Pelvic Exenteration in the Setting of Peritoneal Disease -- Background -- Treatment Options of Colorectal Peritoneal Metastases -- Pelvic Exenteration, Cytoreductive Surgery, and HIPEC -- References -- Chapter 15 Minimally Invasive Pelvic Exenteration -- Background. ; History of Minimally Invasive Pelvic Exenterative Surgery -- Rectal Cancer Beyond TME -- Advantages of a Robotic Approach to Exenteration -- Surgical Planning and Reconstruction -- Patient Factors -- Disease Factors -- Technical Factors -- Robotic Surgical Approach -- Outcomes -- Future Directions -- Summary Box -- References -- Chapter 16 Stoma Considerations Following Exenteration -- Background -- Urinary Diversion -- Incontinent Urinary Diversions -- Ileal Conduit -- Transverse Colon Urinary Diversion -- Distal Colon Urinary Diversion -- Direct Cutaneous Ureterostomy -- Continent Urinary Diversions -- Miami Pouch -- Indiana Pouch -- Uretero-ileocecal Appendicostomy -- Orthotopic Neobladder -- Comparison of Continent and Incontinent Urinary Diversions -- Urological Leaks -- Fecal Diversion -- Combined Fecal and Urinary Diversion -- Wet Colostomy -- Double-Barreled Wet Colostomy -- Parastomal Hernia -- Future Developments -- References -- Chapter 17 Reconstructive Techniques Following Pelvic Exenteration -- Background -- Bowel Reconstruction -- Options -- Urinary Tract Reconstruction -- Ureteric Reimplantation -- Urinary Diversion, Conduit, and Uretostomy -- Reconstruction of Perineum -- Omentum -- Mesh -- Pedicle Flaps -- Fasciocutaneous Flaps -- Myocutaneous Flaps and Free Flaps -- References -- Chapter 18 Minimizing Morbidity from Pelvic Exenteration -- Background -- Knowing the Risks -- Intraoperative Management -- General Considerations -- Surgical Considerations -- Preoperative Considerations -- Intraoperative Considerations -- Postoperative Management -- Critical Care -- Venous Thromboembolic Prophylaxis -- Enhanced Recovery after Surgery -- Postoperative Complications -- Early Complications -- Long-Term Complications -- References -- Chapter 19 Crisis Management -- Background -- Prior to Surgery -- Intraoperative Management. ; Hemorrhage Control -- Postoperative Hemorrhage -- Nerve Damage -- Obturator Nerve -- Femoral Nerve -- Sciatic Nerve -- Sacralplexus -- Injury to Bowel or Urinary Tract -- Postoperative Management -- Abdominal Compartment -- Delayed Presentation of Bowel or Urinary Tract Injury -- Massive Transfusion -- References -- Chapter 20 Quality of Life and Patient-Reported Outcome Measures Following Pelvic Exenteration -- Background -- Quality of Life and Patient-Reported Outcomes Instruments -- Quality of Life Trajectories Following Pelvic Exenteration -- Gynecological Malignancies -- Rectal Malignancy -- Mixed Malignancies -- Palliative Exenteration -- Predictors of Postoperative Quality of Life -- Patient-Reported Outcome Measures Following Pelvic Exenteration -- Future Directions -- References -- Chapter 21 Adjuvant Therapy options after Pelvic Exenteration for Advanced Rectal Cancer -- Background -- Adjuvant Therapy -- Novel Agents -- Radiotherapy -- Future Directions -- References -- Chapter 22 Adjuvant Therapy Options after Pelvic Exenteration for Gynecological Malignancy -- Background -- Cervical Cancer -- Vaginal Cancer -- Vulval Cancer -- Endometrial Cancer -- Ovarian Cancer -- References -- Chapter 23 Adjuvant Therapy Options for Urological Neoplasms -- Background -- Prostate Cancer -- Radiation Therapy -- Brachytherapy -- Hormonal Therapy: Gonadotropin-Releasing Hormone (GnRH) Analogs -- Abiraterone Acetate -- Enzalutamide -- Chemotherapy -- Second-line Treatment for Metastatic Prostate Cancer -- Bladder Cancer -- Chemotherapy -- Immunotherapy -- Radiotherapy -- Conclusion -- References -- Chapter 24 The Role of Re-irradiation for Locally Recurrent Rectal Cancer -- Background -- Treatment of Locally Recurrent Rectal Cancer -- Morbidity After Re-irradiation -- Primary Outcome after Re-irradiation for LRRC -- References. ; Chapter 25 Palliative Pelvic Exenteration.
• Altri titoli varianti: Surgical Management of Advanced Rectal Cancers
• Titolo autorizzato: Surgical Management of Advanced Pelvic Cancer
• ISBN: 1-119-51841-5; 1-119-51849-0
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910555092503321
• Lo trovi qui: Univ. Federico II