PMID: 3553744May 1, 1987Paper

Exclusion of small bowel from pelvis for postoperative radiotherapy for rectal cancer

Journal of Surgical Oncology
S C BakareA J McElhinney


The pelvis is the preferential site of disease when recurrence occurs after curative resection of rectal cancer. Postoperative adjuvant radiotherapy decreases local recurrence rates for Dukes stages B and C; however, after abdominoperineal or anterior resections, the small bowel descends into the lower pelvis, and, due to its low tolerance to radiation, optimal doses cannot be safely delivered unless the small bowel can be excluded from the pelvis. This can be achieved by cystopexy and/or by creating a pelvic sling with a knitted polypropylene mesh. Three cases are presented in which radiotherapy was satisfactorily delivered with these techniques.


Sep 1, 1992·Diseases of the Colon and Rectum·J S ChenH A Fan
Jul 1, 1989·Diseases of the Colon and Rectum·A A Deutsch, H S Stern
Jan 1, 1995·Medical Dosimetry : Official Journal of the American Association of Medical Dosimetrists·R HolstE Goldschmidt
Mar 5, 1998·International Journal of Radiation Oncology, Biology, Physics·S J HuhD R Choi
Aug 1, 1990·International Journal of Radiation Oncology, Biology, Physics·T G ShanahanT J Kinsella
Jul 1, 1994·Journal of Pediatric Surgery·F MericL Schnaufer
Aug 1, 1989·Journal of Surgical Oncology·M N FennerD S Ross

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