Pelvic Exenteration Surgery Series Episode 3: Posterior and Lateral Compartment Tumours

Behind The Knife: The Surgery Podcast

Medicine, Health & Fitness, Education, Science

4.8 • 1.4K Ratings

🗓️ 22 January 2024

⏱️ 39 minutes

🔗️ Recording | iTunes | RSS

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Summary

Join Professor Michael Solomon, Dr Kilian Brown and Dr Jacob Waller from Royal Prince Alfred Hospital in Sydney, Australia, for this special four part series on pelvic exenteration surgery for locally advanced and recurrent rectal cancer. Learn about these ultra-radical procedures which go beyond the traditional TME planes that we learn during surgical training, and into all compartments of the pelvis.

Episode 3 outlines the radical technical approaches to posterior and laterally invasive tumours, including en bloc iliac vascular resection and reconstruction, as well as radical sacrectomy techniques.

Each episode in this series features a different international guest surgeon. In episode 3, the RPA team are joined by Dr Oliver Peacock from the University of Texas MD Anderson Cancer Centre, USA.

Episode Video Link: https://www.youtube.com/watch?v=y25IYUiARgQ

Technical descriptions and videos:

Shaikh I, Holloway I, Aston W, Littler S, Burling D, Antoniou A, Jenkins JT; Complex Cancer Clinic St Mark's Hospital London. High subcortical sacrectomy: a novel approach to facilitate complete resection of locally advanced and recurrent rectal cancer with high (S1-S2) sacral extension. Colorectal Dis. 2016 Apr;18(4):386-92. doi: 10.1111/codi.13226. PMID: 26638828.
https://pubmed.ncbi.nlm.nih.gov/26638828/

Brown KGM, Solomon MJ, Austin KKS, Lee PJ, Stalley P. Posterior high sacral segmental disconnection prior to anterior en bloc exenteration for recurrent rectal cancer. Tech Coloproctol. 2016 Jun;20(6):401-404. doi: 10.1007/s10151-016-1456-0. Epub 2016 Mar 21. PMID: 27000857.
https://pubmed.ncbi.nlm.nih.gov/27000857/

Sutton PA, Solomon M, Sasidharan P, Lee P, Austin K. Abdominolithotomy sacrectomy for the management of locally recurrent rectal cancer: video vignette. Br J Surg. 2021 Aug 19;108(8):e257. doi: 10.1093/bjs/znab105. PMID: 34089593.
https://pubmed.ncbi.nlm.nih.gov/34089593/

Drami I, Fletcher JA, Corr A, West MA, Aston W, Hellawell G, Burns EM, Jenkins JT. Total pelvic exenteration with 'high and wide' sacrectomy for recurrent rectal cancer: A video vignette. Colorectal Dis. 2022 Dec;24(12):1625-1626. doi: 10.1111/codi.16230. Epub 2022 Jul 18. PMID: 35730692.
https://pubmed.ncbi.nlm.nih.gov/35730692/

References:

Rajendran S, Brown KGM, Solomon MJ. Oncovascular surgery for advanced pelvic malignancy. Br J Surg. 2023 Jan 10;110(2):144-149. doi: 10.1093/bjs/znac414. PMID: 36427187.
https://pubmed.ncbi.nlm.nih.gov/36427187/

Austin KK, Solomon MJ. Pelvic exenteration with en bloc iliac vessel resection for lateral pelvic wall involvement. Dis Colon Rectum. 2009 Jul;52(7):1223-33. doi: 10.1007/DCR.0b013e3181a73f48. PMID: 19571697.
https://pubmed.ncbi.nlm.nih.gov/19571697/

Rogers AC, Jenkins JT, Rasheed S, Malietzis G, Burns EM, Kontovounisios C, Tekkis PP. Towards Standardisation of Technique for En Bloc Sacrectomy for Locally Advanced and Recurrent Rectal Cancer. J Clin Med. 2021 Oct 25;10(21):4921. doi: 10.3390/jcm10214921. PMID: 34768442; PMCID: PMC8584798.
https://pubmed.ncbi.nlm.nih.gov/34768442/

van Kessel CS, Waller J, Steffens D, Lee PJ, Austin KKS, Stalley PD, Solomon MJ. Improving Surgical Outcomes in Pelvic Exenteration Surgery: Comparison of Prone Sacrectomy with Anterior Cortical Sacrectomy Techniques. Ann Surg. 2023 Jul 24. doi: 10.1097/SLA.0000000000006040. Epub ahead of print. PMID: 37485983.
https://pubmed.ncbi.nlm.nih.gov/37485983/

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Transcript

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0:00.0	Behind the surgery podcast, relevant and engaging content designed to help you dominate the day.
0:13.0	Calling all surgical education junkies, Behind the Knife is looking to add three new
0:26.4	fellows to our team this year. We are thrilled to be adding these positions as we've
0:30.3	got big plans for the future and want you to be a part of them.
0:34.0	We're working on countless projects that will make a real impact on surgical education,
0:38.1	like our Trauma Surgery Video Atlas, Comprehensive Student Curriculum,
0:42.1	Global Surgery and Innovation Podcast Series, comprehensive student curriculum, global surgery and innovation
0:43.7	podcast series, and our specialty oral board reviews.
0:47.2	We're looking for enterprising surgical residents to take the bull by the horns,
0:51.2	to build something new and exciting and to innovate.
0:55.0	You will benefit from ample support from the behind the knife team, the use of our
0:58.5	brand new digital education platform, and access to all of our resources including illustrators, video editing, and more.
1:06.9	Get your name out there and build your CV by being part of the number one surgery podcast
1:10.9	in the world.
1:11.9	You will even get paid for your work on Choice Projects.
1:15.4	We are offering a two-year fellowship starting July 2024 and ending in June 2026.
1:21.2	Only residents beginning their two-year academic development time will be considered and the residents, institutions, and mentors must approve of this fellowship.
1:28.0	Check out the show notes for the application link. All applications are due March 25th.
1:34.0	Hello and welcome back behind the night of listeners to part three of this special series on pelvic
1:38.8	exentoration surgery for locally advanced and recurrent rectal cancer. This four-part series is brought to you
1:45.0	by Behind the Knife
1:46.0	and the team here at the Department of Cholarectal
	...

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