Guidelines of the Brazilian Society of Oncologic Surgery for pelvic exenteration in the treatment of cervical cancer.
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Laporte Gustavo A, Zanini Lucas A G, Zanvettor Paulo H, Oliveira Alexandre F, Bernado Enio, Lissa Fernando, Coelho Manoel J P, Ribeiro Reitan, Araujo Raphael L C, Barrozo Abner J J, da Costa Alexandre F, de Barros Júnior Amario P, Lopes Andre, Santos Antônio P M, Azevedo Bruno R B, Sarmento Bruno J Q, Marins Carlos A M, Loureiro Carlos M B, Galhardo Cezar A V, Gatelli Charles N, Quadros Claudio A, Pinto Cláudio V, Uchôa Diego N A O, Martins Diogo R S, Doria-Filho Eduardo, Ribeiro Ellen K M A, Pinto Eric R F, Dos Santos Evandro A S, Gozi Francisco A M, Nascimento Francisco C, Fernandes Francisco G, Gomes Francisco K L, Nascimento Geraldo J S, Cucolicchio Guilherme O, Ritt Guilherme F, de Oliveira Guilherme G, Ayala Gunther P, Guimarães Gustavo C, Ianaze Gustavo C, Gobetti Gustavo A, Medeiros Gustavo M, Güth Gustavo Z, Neto Heládio F C, Figueiredo Higino F, Simões João C, Ferrari José C, Furtado José P R, Vieira Leonardo J, Pereira Lucas F, de Almeida Luiz C F, Tayeh Muhamed R A, Figueiredo Pedro H M, Pereira Rafael S A V, Macedo Ramon O, Sacramento Raquel M M, Cardoso Rayane M, Zanatto Renato M, Martinho Rodrigo A M, Araújo Rodrigo G, Pinheiro Rodrigo N, Reis Rosilene J, Goiânia Sergio B S, Costa Sergio R P, Foiato Tariane F, Silva Tyrone C, Carneiro Vandré C G, Oliveira Viviane R, Casteleins William A
Аннотация
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.