China-Japan Friendship Hospital reports two pelvic exenterations with coordinated reconstruction

China-Japan Friendship Hospital in Beijing has described two total pelvic exenterations (TPE) performed during Chinese-Japanese digestive-tumour workshops in September 2026. Its report, published on October 24, concerns completed operations and their reconstructive planning. Professor Uehara, head of colorectal and anal surgery at Juntendo University Hospital in Japan, and his team participated alongside the hospital's specialists.

September 12: tumour removal and perineal reconstruction

The first patient had locally advanced low rectal cancer. The tumour had invaded surrounding tissues and extended through the skin, with ulceration severely affecting quality of life. On September 12, the teams performed TPE. Dr Kondo and colleagues from Nippon Medical School Hospital also participated, carrying out perineal reconstruction with a muscle-and-skin flap.

The hospital explains that TPE involves removal of the rectum, bladder and affected reproductive organs, followed by reconstruction of the digestive and urinary tracts. Extensive resection can leave a large cavity in the pelvic floor and perineum, requiring coordinated reconstructive surgery.

In this case, the flap was intended to fill that space, cover the perineal defect and improve conditions for wound healing. Reducing infection, intestinal or urinary fistula, and pelvic-floor hernia risks were treatment aims, not reported follow-up findings. The teams jointly assessed the patient and designed the operation, linking tumour resection with reconstruction and wound care.

September 20: a second operation involving several specialties

The second patient also had locally advanced low rectal cancer, with complex pelvic anatomy and close relationships between the tumour and nearby urinary, reproductive and pelvic-floor structures. Professor Uehara returned for the September 20 operation.

The team worked with the hospital's general and colorectal surgery, urology, anaesthesia, imaging, pathology, intensive-care and nursing services. The account highlights anatomical planes, lateral lymph-node management, protection of vessels and nerves, and urinary and digestive reconstruction as key parts of the operation and on-site teaching.

What the clinical account establishes

For patients seeking assessment of advanced pelvic cancer, the report shows how extensive organ removal and reconstruction can require joint planning across tumour surgery, urology, reconstructive care and perioperative services. The stated aim was to seek an opportunity for radical resection while preserving function and limiting complications as far as possible.

The article does not provide discharge status, recurrence data or longer-term functional outcomes for either patient. The visiting Japanese teams' participation in these workshops does not establish a standing appointment service or the same treatment option for other patients.