Operative Strategies in Pelvic Exenteration Surgery
- 1st Edition - March 1, 2026
- Editors: Desmond C Winter, Michael E Kelly
- Language: English
- Paperback ISBN:9 7 8 - 0 - 4 4 3 - 2 2 4 1 2 - 6
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 2 2 4 1 1 - 9
Operative Strategies in Pelvic Exenteration Surgery is a reference for the surgical management of Pelvic Exenteration Surgery. It covers all aspects of surgery from the colorecta… Read more
Operative Strategies in Pelvic Exenteration Surgery is a reference for the surgical management of Pelvic Exenteration Surgery. It covers all aspects of surgery from the colorectal, urological, gynecological, and orthopedic point of view. Coverage consolidates the research of world-leaders and includes the history of exenterative study, outlining the current state and indicating future developments. The book also discusses the current surgical operative strategies for the management of locally advanced and recurrent pelvic neoplasms with illustrations, intra-op photos, and supplementary video material.
Created from the experiences of an international collaboration of surgeons, this reference is the perfect reference for surgical oncologists, colorectal, gynecology, urology, and vascular surgeons as well as any group involved in complex pelvic surgery including complex open, laparoscopic, and robotic surgery.
- Outlines novel and contemporary operative techniques regarding pelvic exenteration for colorectal, sarcoma, urological, gynecological, and benign indications
- Provides intra-operative pictures, illustrations, and “tips” that provide the reader with key operative steps to ensure positive outcomes
- Includes access to a companion site with a video library of narrated procedures
Surgical Oncologists, Colorectal, Gynae, Urology, and Vacsular Surgeons, Any group involved in complex pelvic surgery including complex open, laparoscopic, and robotic surgery
1. Introduction – D Winter (Ireland)
a. Outlines current management strategies
b. Areas in evolutions
c. Future endeavors
2. Defining Pelvic Anatomy - Yukihide Kanemitsu (National Cancer Centre, Japan)
a. Descriptors of pelvic anatomy
b. Key components of surgical anatomy
3. Setting up a specialist unit – Michael Solomon (Royal Alfred – Sydney, Australia)
a. What is needed to have an effective unit (team building)
b. Key performance indices c. Funding, resource allocation
4. Patient selection M Kelly (Ireland)
a. Choosing the right patient
b. Defining “winners”
c. Radiology and Genetic biomarkers
5. Optimizing the patient – Amit Merchea (Mayo Clinic, USA)
a. Medical / Physiological optimization
b. Prehabilitation programs
c. Patient counselling and pre-education
6. Anterior pelvic exenteration – Pamela Buchwald (Skane, Sweden)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps e. Hints / Tips
7. Posterior pelvic exenteration – Pim Burger (Catharina, Netherlands)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps e. Hints / Tips
8. Total pelvic exenteration – Quentin Denost (Bordeaux, France)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps e. Hints / Tips
9. Pelvic exenteration including peritonectomy – Alexander Heriot, Glen Guerra (Peter Mac Callum Melbourne, Australia)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps e. Hints / Tips
10. Extended resections involving sacrum, pubic bone, iliac bone - Ian Jenkins (St Mark’s London, UK)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps e. Hints / Tips
11. Oligometastatic resection - Liver, lung, lymph nodes (TBC)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps e. Hints / Tips
12. Minimally invasive exenteration – George Change (MD Anderson – USA)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps
e. Hints / Tips
13. Extended sidewall resection – Avanish Saklani (Mumbai, India)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps e. Hints / Tips
14. Reconstructive techniques – Ed Buchel (Winnipeg, Canada)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps
e. Hints / Tips
15. Palliative exenterative approaches - Eloy Espín-Basany (Barcelona, Spain)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps
e. Hints / Tips
16. Dealing with major complications – Frank Frizelle (Christchurch, New Zealand)
a. The claustrophobic bleed
b. Anticipation of the potential issue
c. Re-intervention options
d. Tips and Tricks to minimize issues
17. Novel strategies and disruptive technology – Deena Hariji (Manchester, UK)
a. Emerging technology
b. Highlighting those with expected poor outcomes (Picking winners)
c. Better perioperative care
d. Future directions
a. Outlines current management strategies
b. Areas in evolutions
c. Future endeavors
2. Defining Pelvic Anatomy - Yukihide Kanemitsu (National Cancer Centre, Japan)
a. Descriptors of pelvic anatomy
b. Key components of surgical anatomy
3. Setting up a specialist unit – Michael Solomon (Royal Alfred – Sydney, Australia)
a. What is needed to have an effective unit (team building)
b. Key performance indices c. Funding, resource allocation
4. Patient selection M Kelly (Ireland)
a. Choosing the right patient
b. Defining “winners”
c. Radiology and Genetic biomarkers
5. Optimizing the patient – Amit Merchea (Mayo Clinic, USA)
a. Medical / Physiological optimization
b. Prehabilitation programs
c. Patient counselling and pre-education
6. Anterior pelvic exenteration – Pamela Buchwald (Skane, Sweden)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps e. Hints / Tips
7. Posterior pelvic exenteration – Pim Burger (Catharina, Netherlands)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps e. Hints / Tips
8. Total pelvic exenteration – Quentin Denost (Bordeaux, France)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps e. Hints / Tips
9. Pelvic exenteration including peritonectomy – Alexander Heriot, Glen Guerra (Peter Mac Callum Melbourne, Australia)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps e. Hints / Tips
10. Extended resections involving sacrum, pubic bone, iliac bone - Ian Jenkins (St Mark’s London, UK)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps e. Hints / Tips
11. Oligometastatic resection - Liver, lung, lymph nodes (TBC)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps e. Hints / Tips
12. Minimally invasive exenteration – George Change (MD Anderson – USA)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps
e. Hints / Tips
13. Extended sidewall resection – Avanish Saklani (Mumbai, India)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps e. Hints / Tips
14. Reconstructive techniques – Ed Buchel (Winnipeg, Canada)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps
e. Hints / Tips
15. Palliative exenterative approaches - Eloy Espín-Basany (Barcelona, Spain)
a. Components to aforementioned procedure
b. Set-up principals
c. Surgical step-step approach with images/ illustrations
d. Key/ Critical steps
e. Hints / Tips
16. Dealing with major complications – Frank Frizelle (Christchurch, New Zealand)
a. The claustrophobic bleed
b. Anticipation of the potential issue
c. Re-intervention options
d. Tips and Tricks to minimize issues
17. Novel strategies and disruptive technology – Deena Hariji (Manchester, UK)
a. Emerging technology
b. Highlighting those with expected poor outcomes (Picking winners)
c. Better perioperative care
d. Future directions
- Edition: 1
- Published: March 1, 2026
- Language: English
DC
Desmond C Winter
Desmond C Winter is a Consultant Surgeon at St Vincent’s University Hospital and Professor of Clinical Surgery at the University College of Dublin. He is also the Chair of European Society of Coloproctology’s Programme Committee. His areas of research include advanced and recurrent rectal cancer, organ preserving approaches for cancer, robotic and laparoscopic surgery, clinical and basic science research.
Affiliations and expertise
Professor, Department of Clinical Surgery, University College Dublin, Dublin, IrelandME
Michael E Kelly
Michael Kelly is a Colorectal Consultant Surgeon at St James Hospital and co-founder of the PelvEx Collaborative. He has been involved in major collaborative publications and international conferences
Affiliations and expertise
Colorectal Consultant Surgeon, Department of Surgery, St James Hospital, Dublin, Ireland