Laparotomy After Total Pelvic Exenteration: Current Status and Techniques for Ileal Conduit Preservation.

BACKGROUND/AIM: Advances in chemotherapy have shifted the treatment paradigm for colorectal cancer from surgical intervention to medical treatment. We report the outcomes of laparotomy following total pelvic exenteration (TPE) and describe specific methods for preventing ileal conduit injury. PATIENTS AND METHODS: Eighteen patients underwent a total of 29 laparotomies after TPE. Laparotomies were categorized into three types "Recurrence surgery", "Complication surgery (early complications and late complications)", and "Palliative surgery". Ileal conduit preservations were categorized into Category A (Retrograde catheterization), Category B (Internal stenting via nephrostomy), and Category C (Sustained stenting after TPE). RESULTS: <0.0001). CONCLUSION: Laparotomy after TPE appears to be a feasible and acceptably safe option when performed with appropriate precautions, particularly with strategies aimed at preserving the ileal conduit.