Anterior Sacrectomy Improves Pelvic Exenteration Outcomes

Researchers compare sacrectomy approaches in pelvic exenteration for advanced pelvic malignancies. Shifting from prone sacrectomy (PS) to anterior techniques (ALS, HACS), they find ALS and HACS reduce operating time, blood loss, and complications compared to PS. HACS involves more nerve and vascular resections. Despite this, adopting anterior sacrectomy enhances surgical and perioperative outcomes while maintaining oncological effectiveness. Surgeons are encouraged to embrace these safer, anterior approaches for improved pelvic exenteration outcomes.