Evidence map›Paper›PMID 41206413›Full record

ArticleSurgery today2026

Bony pelvic resection is a risk factor for pelvic abscess after total pelvic exenteration for pelvic malignancies.

Yuki Murata, Atsushi Ogura, Ryutaro Kobayashi, Konosuke Yogo, Shoji Kawakatsu, Shizuki Sugita, Nobuyuki Watanabe, Kazushi Miyata, Jumpei Yamaguchi, Takashi Mizuno and 2 more

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Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Yuki MurataDepartment of Surgery, Nagoya University Graduate School of Medicine, Nagoya, 466-8550, Japan.
Atsushi OguraDepartment of Surgery, Nagoya University Graduate School of Medicine, Nagoya, 466-8550, Japan. ogura.atsushi.r2@f.mail.nagoya-u.ac.jp.
Ryutaro KobayashiDepartment of Surgery, Nagoya University Graduate School of Medicine, Nagoya, 466-8550, Japan.
Konosuke YogoDepartment of Surgery, Nagoya University Graduate School of Medicine, Nagoya, 466-8550, Japan.
Shoji KawakatsuDepartment of Surgery, Nagoya University Graduate School of Medicine, Nagoya, 466-8550, Japan.
Shizuki SugitaDepartment of Surgery, Nagoya University Graduate School of Medicine, Nagoya, 466-8550, Japan.
Nobuyuki WatanabeDepartment of Surgery, Nagoya University Graduate School of Medicine, Nagoya, 466-8550, Japan.
Kazushi MiyataDepartment of Surgery, Nagoya University Graduate School of Medicine, Nagoya, 466-8550, Japan.
Jumpei YamaguchiDepartment of Surgery, Nagoya University Graduate School of Medicine, Nagoya, 466-8550, Japan.
Takashi MizunoDepartment of Surgery, Nagoya University Graduate School of Medicine, Nagoya, 466-8550, Japan.
Goro NakayamaDepartment of Surgery, Nagoya University Graduate School of Medicine, Nagoya, 466-8550, Japan.
Tomoki EbataDepartment of Surgery, Nagoya University Graduate School of Medicine, Nagoya, 466-8550, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePelvic abscess (PA) is a serious complication of pelvic exenteration (PE) that adversely affects patient outcomes. Although various procedures, including flap reconstruction, have been challenged, definitive indications have not been established. This study aims to identify the risk factors for PA following total PE (TPE).

methodsThe subjects of this retrospective study were 107 consecutive patients who underwent TPE for locally advanced or recurrent pelvic tumors between June, 2006 and July, 2019. We analyzed the perioperative risk factors for PA, defined as infectious fluid collection in the deep pelvis requiring drainage.

resultsPA developed in 37 patients (34.6%), whose postoperative hospital stay was significantly longer than that of patients without PA (53 days vs. 32 days, P < 0.01). Among the presurgical and surgical factors, bony pelvic resection was an independent predictor of PA (OR: 4.94; 95% CI: 1.57-15.54; P = 0.01). Computed tomography (CT) findings of fluid accumulation and the absence of small intestine in the deep pelvis correlated significantly with PA incidence (P = 0.02, respectively).

conclusionBony pelvic resection is a key risk factor for PA following TPE. Consequently, filling the pelvic dead space with a myocutaneous flap could be considered to reduce the risk of PA in patients undergoing bony pelvic resection.

Indexed as

AbscessPelvic BonesPelvic ExenterationPelvic NeoplasmsPostoperative ComplicationsAdultAgedAged, 80 and overFemaleHumansLength of StayMaleMiddle AgedPelvisRetrospective StudiesRisk FactorsBony pelvic resectionPelvic abscessPelvic exenteration

Identifiers

PMID41206413

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.