대한대장항문학회

Purpose : Extensive local growth of rectal carcinoma and sigmoid colon carcinoma without<br>evidence of extrapelvic dissemination occurs infrequently but does represent a small number<br>of potentially curable neoplasms. Such lesions may present with bulk-related problems such<br>as pelvic pain and lower colonic obstruction or with rectum, the vagina, or the bladder. Even<br>in the absence of distant spread, many of these patients will have unresectable disease and<br>will undergo an incomplete resection or proximal colostomy for pallliation. In selected<br>patients, some of the locally advanced rectal cancer may be curable if total pelvic exenteration<br>is performed. Methods : This report describe a group of patients with locally advanced<br>sigmoid or rectal carcinoma confined to the pelvis who underwent total pelvic exenteration at<br>the Chonnam University Hospital. Results : Seven patients had received total pelvic<br>exenteration within five years and they were all men. One patient among them had recurred<br>rectal cancer after previous abdominoperineal resection. Four rectal cancer and three sigmoid<br>colon cancer were included and the range of age was third to eighth decade. According to<br>modified Dukes' stage, stage B3 were five, and C2 were two. Postoperative complications<br>were presented in three patients. They were wound infection, mechanical ileus, and<br>anastomotic leakage. Conclusions : Postoperative death was presented in one patient due to<br>sepsis with mechanical ileus. Long term follow up of these patients which was arranged from<br>two to fourty-seven months showed five patients alive and one patient died.<br>