This retrospective study investigated the surgical approach of total pelvic exenteration combined with sacral resection for rectal cancer and its impact on short-term outcomes. The association between the level of sacral resection and complications, specifically exhibiting a Clavien-Dindo grade III, was assessed. The results revealed a significantly higher complication rate for recurrent rectal cancer patients compared to primary cancer patients. In particular, “upper” sacral resection during total pelvic exenteration was found to be linked to a high complication rate in recurrent cases, emphasizing the importance of close monitoring.
Journal Article by Komori K, Tsukushi S (…) Shimizu Y et 21 al. in Am Surg