Prone en bloc sacrectomy with proctectomy: a surgical approach to the inaccessible and hostile pelvis.
Michael J SolomonS LoizidesSilvio Raffael DästerK K S AustinP J LeePublished in: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland (2020)
The en bloc prone sacrectomy approach is a useful alternative in a very select group of patients with difficult trans-abdominal access to the pelvis. Experience in pelvic surgery and identification of clear anatomical landmarks is paramount to avoid catastrophic uncontrollable bleeding.