Scholarlink

Purpose <p>Pelvic abscess (PA) is a serious complication of pelvic exenteration (PE) that adversely affects patient outcomes. Although various procedures, including flap reconstruction, have been challenged, definitive indications have not been established. This study aims to identify the risk factors for PA following total PE (TPE).</p> Methods <p>The subjects of this retrospective study were 107 consecutive patients who underwent TPE for locally advanced or recurrent pelvic tumors between June, 2006 and July, 2019. We analyzed the perioperative risk factors for PA, defined as infectious fluid collection in the deep pelvis requiring drainage.</p> Results <p>PA developed in 37 patients (34.6%), whose postoperative hospital stay was significantly longer than that of patients without PA (53&#xa0;days vs. 32&#xa0;days, P &lt; 0.01). Among the presurgical and surgical factors, bony pelvic resection was an independent predictor of PA (OR: 4.94; 95% CI: 1.57–15.54; P = 0.01). Computed tomography (CT) findings of fluid accumulation and the absence of small intestine in the deep pelvis correlated significantly with PA incidence (P = 0.02, respectively).</p> Conclusion <p>Bony pelvic resection is a key risk factor for PA following TPE. Consequently, filling the pelvic dead space with a myocutaneous flap could be considered to reduce the risk of PA in patients undergoing bony pelvic resection.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Bony pelvic resection is a risk factor for pelvic abscess after total pelvic exenteration for pelvic malignancies

  • 期刊论文

  • 发表日期：

    2025年11月8日

查看全文
  • Yuki Murata,
  • Atsushi Ogura,
  • Ryutaro Kobayashi,
  • Konosuke Yogo,
  • Shoji Kawakatsu,
  • Shizuki Sugita,
  • Nobuyuki Watanabe,
  • Kazushi Miyata,
  • Jumpei Yamaguchi,
  • Takashi Mizuno,
  • Goro Nakayama,
  • Tomoki Ebata

摘要

Purpose

Pelvic abscess (PA) is a serious complication of pelvic exenteration (PE) that adversely affects patient outcomes. Although various procedures, including flap reconstruction, have been challenged, definitive indications have not been established. This study aims to identify the risk factors for PA following total PE (TPE).

Methods

The subjects of this retrospective study were 107 consecutive patients who underwent TPE for locally advanced or recurrent pelvic tumors between June, 2006 and July, 2019. We analyzed the perioperative risk factors for PA, defined as infectious fluid collection in the deep pelvis requiring drainage.

Results

PA developed in 37 patients (34.6%), whose postoperative hospital stay was significantly longer than that of patients without PA (53 days vs. 32 days, P < 0.01). Among the presurgical and surgical factors, bony pelvic resection was an independent predictor of PA (OR: 4.94; 95% CI: 1.57–15.54; P = 0.01). Computed tomography (CT) findings of fluid accumulation and the absence of small intestine in the deep pelvis correlated significantly with PA incidence (P = 0.02, respectively).

Conclusion

Bony pelvic resection is a key risk factor for PA following TPE. Consequently, filling the pelvic dead space with a myocutaneous flap could be considered to reduce the risk of PA in patients undergoing bony pelvic resection.