IT IS BECOMING apparent that total pelvic viserectomy with ureterointestinal anastomosis is a feasible operative procedure for certain pelvic neoplasms.1 Though the operation is severe and the mortality rate considerable, the procedure affords certain patients palliation and the possibility of "cure" in circumstances which would have been considered hopeless a few years ago. Our present interests are concerned with the selection of cases and the results of the procedure.
This presentation covers an experience with the radical operation, that is, total removal of pelvic viscera and pelvic lymph nodes en bloc. Partial viscerectomies have been carried out for many years, and they and radical Wertheim operations are not considered in this report.
The total viscerectomy as now carried out consists in either abdominal-perineal or supralevator resection with terminal sigmoid colostomy and anastomosis of ureters to colon. Usually the right ureter is anastomosed to cecum or ascending colon and the