https://he02.tci-thaijo.org/index.php/agstjournal <div id="model-response-message-contentr_a1456f9b74bb4a25" class="markdown markdown-main-panel stronger enable-updated-hr-color" dir="ltr" aria-live="polite" aria-busy="false"> <p data-path-to-node="1">The Journal of the Association of General Surgeons aims to promote the academic role in surgery at both national and international levels, while fostering collaborative network relationships both within and outside the association. It seeks to create academic works and disseminate them to all sectors, developing its function in alignment with the vision and mission focused on ensuring Thai surgeons achieve academic excellence in surgery at the international level.</p> <p data-path-to-node="2">The Journal seeks to ensure that research findings and academic articles are disseminated to the general public, building capacity for presenting scholarly work, research, and surgical knowledge to professional groups. It serves as a national center for the transfer and exchange of medical knowledge and technology, in accordance with the country's strategic plan.</p> <p data-path-to-node="3">Furthermore, it offers opportunities for surgeons, academics, and the general public, both inside and outside the association, to submit their own scholarly works, articles, and research. This promotes and develops academic knowledge in seeking evidence-based practice to support professional work, enhances the capacity for presenting scholarly work and research, and disseminates surgical knowledge to allied professional groups, thereby establishing the Journal as the central platform for publishing and publicly disseminating academic articles.</p> </div> สมาคมศัลยแพทย์ทั่วไปแห่งประเทศไทยในพระบรมราชูปถัมภ์ en-US Journal of the Association of General Surgeons of Thailand under the Royal of Patronage of HM the King 1686-879X https://he02.tci-thaijo.org/index.php/agstjournal/article/view/282489 <p>Background: Pelvic exenteration (PE) is a highly complex surgical procedure indicated for selected patients with locally advanced colorectal cancer (LACC) when standard resection cannot achieve negative margins. Data regarding outcomes of PE in general hospitals remain limited. Objective: To evaluate surgical and oncological outcomes of pelvic exenteration in patients with locally advanced colorectal cancer treated at a general surgical hospital. Methods: A retrospective descriptive study [SK1]&nbsp;was conducted including patients with LACC who underwent pelvic exenteration between November 2021 and January 2025. Demographic characteristics, operative details, pathological findings, and postoperative outcomes were analyzed using descriptive statistics. Results: Nine patients were included; six (66.7%) were female, with a mean age of 60.8 ± 7.1 years. Posterior pelvic exenteration (PPE) was performed in six patients and total pelvic exenteration (TPE) in three. The mean operative time was 474 ± 91 minutes, and the mean estimated blood loss was 1,178 ± 554 mL. R0 resection was achieved in eight patients (88.9%). Postoperative complications were limited to surgical site infection in two patients (22.2%). No 30-day mortality was observed. Median length of hospital stay was 13 days (IQR 11–15). At follow-up, overall survival was 77.8%, and disease-free survival among surviving patients was 55.6%. Conclusion: Pelvic exenteration can be safely performed in a general surgical hospital with acceptable morbidity and a high rate of R0 resection. Multidisciplinary collaboration and careful patient selection are essential. Larger studies with longer follow-up are needed to confirm long-term oncological outcomes.</p> <p>Keywords: Locally advanced colorectal cancer, Pelvic exenteration, Posterior pelvic exenteration, Total pelvic exenteration, Surgical outcomes</p> Worawarn Worasawate Copyright (c) 2026 Journal of the Association of General Surgeons of Thailand under the Royal of Patronage of HM the King 2026-08-09 2026-08-09 11 2 1 11