{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T23:57:24Z","timestamp":1773014244310,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T00:00:00Z","timestamp":1765929600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T00:00:00Z","timestamp":1765929600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pelvic exenterations (PE) in solid organ gynaecological malignancies have historically been confined to the central pelvic compartment but an expansion of resection extent to include the lateral compartment is now technically feasible. There remains uncertainty about its influence on outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective study of consecutive patients undergoing PE for non\u2010ovarian gynaecological malignancies in a tertiary referral unit. Two groups were assessed and compared: standard resections including but not beyond the pelvic sidewall (SR); and extended resections beyond the pelvic side wall (lateral compartment excisions; internal iliac vessels and\/or obturator internus\/piriformis resection and\/or bone resection) (ER).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty\u2010one patients underwent 32 PE: of these, 21 patients underwent SR (65.6%) with 11 who underwent ER (34.4%). Clear microscopic resection margins (R0) were achieved in 72.7% for ER versus 90.5% for SR. The overall 30\u2010day major complication rate (\u2265Clavien\u2010Dindo III) was 45.5% for the ER group versus 19.9% for SR. Median length\u2010of\u2010stay for ER was longer than for SR (38 vs. 18.5\u2009days). The 1\u2010year DFS for ER was 66.7% versus 77.8% for SR. The 2\u2010year DFS for ER group was 60% versus 57.1% for SR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this study of contemporary patients, the short\u2010term patient outcomes of ER were consistent with other similar cohorts in the literature and comparable to SR in this cohort. There is an urgent need for larger multicentre studies to clarify the influence of PE resectional extent on resection margin status, patient outcomes and survival.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.70079","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T07:25:01Z","timestamp":1766042701000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Resecting Beyond the Central Pelvic Compartment in Pelvic Exenterations for Gynaecological Malignancies: Outcomes From a Tertiary Unit"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6044-4610","authenticated-orcid":false,"given":"Chia Yew","family":"Kong","sequence":"first","affiliation":[{"name":"Academic Unit of Surgery, Department of Surgery Glasgow Royal Infirmary, Glasgow Royal Infirmary University of Glasgow and Lister  Glasgow UK"},{"name":"Wolfson Wohl Cancer Research Institute, School of Cancer Sciences University of Glasgow  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norman J.","family":"Galbraith","sequence":"additional","affiliation":[{"name":"Academic Unit of Surgery, Department of Surgery Glasgow Royal Infirmary, Glasgow Royal Infirmary University of Glasgow and Lister  Glasgow UK"},{"name":"Wolfson Wohl Cancer Research Institute, School of Cancer Sciences University of Glasgow  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aiste","family":"McCormick","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Glasgow Royal Infirmary  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Haddock","sequence":"additional","affiliation":[{"name":"Academic Unit of Surgery, Department of Surgery Glasgow Royal Infirmary, Glasgow Royal Infirmary University of Glasgow and Lister  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Ratcliffe","sequence":"additional","affiliation":[{"name":"Academic Unit of Surgery, Department of Surgery Glasgow Royal Infirmary, Glasgow Royal Infirmary University of Glasgow and Lister  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Telfer","sequence":"additional","affiliation":[{"name":"Canniesburn Regional Plastic Surgery and Burns Unit Glasgow Royal Infirmary  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Lo","sequence":"additional","affiliation":[{"name":"Canniesburn Regional Plastic Surgery and Burns Unit Glasgow Royal Infirmary  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"Fairbairn","sequence":"additional","affiliation":[{"name":"Canniesburn Regional Plastic Surgery and Burns Unit Glasgow Royal Infirmary  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Palmer","sequence":"additional","affiliation":[{"name":"Department of Urology Glasgow Royal Infirmary  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seamus","family":"Teahan","sequence":"additional","affiliation":[{"name":"Department of Urology Glasgow Royal Infirmary  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Morton","sequence":"additional","affiliation":[{"name":"Department of Urology Glasgow Royal Infirmary  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhona","family":"Lindsay","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Glasgow Royal Infirmary  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Burton","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Glasgow Royal Infirmary  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadeem","family":"Siddiqui","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Glasgow Royal Infirmary  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Campbell S.","family":"Roxburgh","sequence":"additional","affiliation":[{"name":"Academic Unit of Surgery, Department of Surgery Glasgow Royal Infirmary, Glasgow Royal Infirmary University of Glasgow and Lister  Glasgow UK"},{"name":"Wolfson Wohl Cancer Research Institute, School of Cancer Sciences University of Glasgow  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter S.","family":"Chong","sequence":"additional","affiliation":[{"name":"Academic Unit of Surgery, Department of Surgery Glasgow Royal Infirmary, Glasgow Royal Infirmary University of Glasgow and Lister  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colin W.","family":"Steele","sequence":"additional","affiliation":[{"name":"Academic Unit of Surgery, Department of Surgery Glasgow Royal Infirmary, Glasgow Royal Infirmary University of Glasgow and Lister  Glasgow UK"},{"name":"Cancer Research UK Beatson Institute, School of Cancer Sciences University of Glasgow  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha","family":"Quinn","sequence":"additional","affiliation":[{"name":"Academic Unit of Surgery, Department of Surgery Glasgow Royal Infirmary, Glasgow Royal Infirmary University of Glasgow and Lister  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(06)70903-2"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003533"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2005.05.034"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0090-8258(89)90512-X"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2006.03.040"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181b13ca2"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0b013e3182a80aec"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s10397-019-1055-y"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2008.07.022"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11912-014-0435-8"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2021.683441"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-018-07088-8"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2020.12.034"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200204000-00001"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2012.10.028"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2006.10.004"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-011-1778-0"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers16040817"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2018.10.036"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2019.07.015"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9915"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2021.08.033"},{"issue":"2","key":"e_1_2_9_24_1","article-title":"Exenterative Surgery for Recurrent Gynaecological Malignancies","volume":"2014","author":"Ang C.","year":"2014","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znaf123"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.70079","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajo.70079","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.70079","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T22:44:41Z","timestamp":1773009881000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.70079"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,17]]},"references-count":24,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1111\/ajo.70079"],"URL":"https:\/\/doi.org\/10.1111\/ajo.70079","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,17]]},"assertion":[{"value":"2024-09-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70079"}}