Secondary involvement of the bladder in malignant tumors of the small pelvis - from classification to the differentiated surgical tactics

Analyzed the surgical treatment of 182 patients with locally advanced pelvic tumors that required resection of the bladder or its complete removal. The operations were performed from 2004 to 2013. 78 (42,8%) patients had colorectal cancer. In 61 (33,6%) cases of cervical cancer in 25 (13,7%) - ovarian cancer, 11 (6,1%) - uterine cancer, in 7 (3,8%) - a cancer of the vagina. In 43 (23,6%) patients operations was accompanied by resection of bladder, 139 (76,4%) cases, the volume of surgery was pelvic evisceration. Proposed surgical classification of locally advanced pelvic tumors and secondary involvement of the bladder with locally advanced tumors. Describes the criteria of choosing the optimal amount of intervention at different propagation of the tumor and the degree of involvement of the bladder. The perspective of large interventions to improve the results of treatment of patients with tumors of pelvic localization.