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

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