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Guidelines of the Brazilian Society of Oncologic Surgery for pelvic exenteration in the treatment of cervical cancer

2019; Wiley; Volume: 121; Issue: 5 Linguagem: Inglês

10.1002/jso.25759

1096-9098

Gustavo Andreazza Laporte, Lucas Adalberto Geraldi Zanini, Paulo Henrique Zanvettor, Alexandre Ferreira Oliveira, Enio Bernado, Fernando Lissa, Manoel J. P. Coelho, Reitan Ribeiro, Raphael L. C. Araújo, Abner J. J. Barrozo, Alexandre F. da Costa, Amario P. de Barros Júnior, André Lopes, Antônio P. M. Santos, Bruno Roberto Braga Azevedo, Bruno José Queiroz Sarmento, Carlos Augusto Martinez Marins, Carlos Loureiro, Cézar Augusto Vendas Galhardo, Charles Nilton Gatelli, Claudio Almeida Quadros, Cláudio Venâncio Pinto, Diego Oliveira, Diogo R. S. Martins, Eduardo Doria‐Filho, Ellen K. M. A. Ribeiro, Eric R. F. Pinto, Evandro Airton Sordi dos Santos, Francisco A. M. Gozi, Francisco C. Nascimento, Francisco G. Fernandes, Francisco K. L. Gomes, Geraldo José Souza Nascimento, Guilherme Oliveira Cucolicchio, Guilherme Fonteles Ritt, Guilherme G. de Oliveira, Gunther Ayala, Gustavo Cardoso Guimarães, Gustavo Castro Ianaze, Gustavo A. Gobetti, Gustavo Mendes Medeiros, G Guth, Heládio F. C. Neto, Higino Felipe Figueiredo, João Simões, José C. Ferrari, José P. R. Furtado, Leonardo José Vieira, Lucas Frank Guimarães Pereira, Luiz C. F. de Almeida, Muhamed Read Ali Tayeh, Pedro H. M. Figueiredo, Rafael S. A. V. Pereira, Ramon O. Macedo, Raquel M. M. Sacramento, Rayane M. Cardoso, Renato Morato Zanatto, Rodrigo A. M. Martinho, Rodrigo Guido de Araújo, Rodrigo Nascimento Pinheiro, Rosilene Jara Reis, Sergio B. S. Goiânia, Sergio Renato Pais Costa, Tariane Friedrich Foiato, Tyrone Cesar Silva, Vandré Cabral Gomes Carneiro, Viviane Rezende de Oliveira, William Augusto Casteleins,

Colorectal Cancer Surgical Treatments

Abstract Background and Objectives The primary treatment for locally advanced cases of cervical cancer is chemoradiation followed by high‐dose brachytherapy. When this treatment fails, pelvic exenteration (PE) is an option in some cases. This study aimed to develop recommendations for the best management of patients with cervical cancer undergoing salvage PE. Methods A questionnaire was administered to all members of the Brazilian Society of Surgical Oncology. Of them, 68 surgeons participated in the study and were divided into 10 working groups. A literature review of studies retrieved from the National Library of Medicine database was carried out on topics chosen by the participants. These topics were indications for curative and palliative PE, preoperative and intraoperative evaluation of tumor resectability, access routes and surgical techniques, PE classification, urinary, vaginal, intestinal, and pelvic floor reconstructions, and postoperative follow‐up. To define the level of evidence and strength of each recommendation, an adapted version of the Infectious Diseases Society of America Health Service rating system was used. Results Most conducts and management strategies reviewed were strongly recommended by the participants. Conclusions Guidelines outlining strategies for PE in the treatment of persistent or relapsed cervical cancer were developed and are based on the best evidence available in the literature.