Pelvic malignancies undergoing exenteration.

579 Background: Pelvic exenteration is reserved for patients with locally invasive and recurrent pelvic malignancies. The literature demonstrates a high morbidity and mortality associated with this operation. At our institution, a high volume of pelvic exenterations are undertaken and their outcomes have been studied. Methods: The medical records of 53 patients with varying pelvic pathologies who underwent pelvic exenteration between 2004 and 2010 were reviewed. Demographics, histologies, periprocedural events, and outcomes were analyzed. Results: Patients were divided into a colorectal (n = 37) and noncolorectal (n = 16) group for analysis based on histology. The two groups were similar in demographics, perioperative events, and length of stay. Resection status, chemotherapy use, and intraoperative radiation therapy showed no statistical difference. Complications showed a difference in perineal abscesses in the colorectal group. The colorectal group showed a survival difference when comparing R0 resectio...