[Combined multivisceral resection for pelvic tumors: safe and expeditious surgical strategies and key points of functional reconstruction].

Abstract

The invasion of pelvic tumors into multiple organs frequently necessitates the concurrent resection of the rectum, bladder, sacrococcygeal bone, uterus and its accessories, as well as other organs. This complex surgical procedure stands as a pivotal treatment for locally advanced pelvic tumors, offering patients the potential for long-term survival and improved quality of life. However, the narrow confines of the pelvic cavity, its intricate anatomical structure, limited visual exposure, and the inherent challenges of the operation itself, contribute to a surgery that is highly demanding, risky, traumatic, time-consuming, and prone to causing life-threatening hemorrhage. Despite these challenges, a safe and effective strategy for specimen removal, coupled with precise and comprehensive organ function reconstruction techniques, are paramount in reducing operative time, minimizing perioperative risks, enhancing postoperative quality of life, and mitigating complications. Currently, there exists no universally standardized evaluation framework to guide the swift removal of specimens and the meticulous reconstruction of organs and pelvic floor functions within safe boundaries. Drawing from our team's decade-long experience in pelvic tumor resection and referencing recent literature, this paper aims to provide a comprehensive overview of pelvic tumor resection involving multiple organs. We focus on safe and efficient surgical strategies, as well as the essential aspects of functional reconstruction.