[Pelvic exenteration in the treatment of locally advanced tumors of surgical, gynaecological and urological origin].

Pelvic exenteration is a radical extirpative procedure designed to treat pelvic malignancy that has invaded more than one of the hollow organs of the gastrointestinal or genitourinary tracts. The operation comprises several radical procedures: resection of the rectum, hysterectomy (with adnexectomy) with partial or complete vaginectomy, pelvic lymphadenectomy and total (or partial) cystectomy with diversion of the urinary tract. The retrospective analysis of our results in 27 patients treated in the years 1995 to 2000 by means of pelvic exenteration showed a 7.4 % hospital mortality and 59.3 % morbidity rate. The recurrence and survival rates were adequate. This surprisingly favourable outcome in our patients should encourage Czech surgeons to perform this difficult procedures more often.