,TITLE OF OPERATION: , Exploratory laparotomy, resection of small bowel lesion, biopsy of small bowel mesentery, bilateral extended pelvic and iliac lymphadenectomy (including preaortic and precaval, bilateral common iliac, presacral, bilateral external iliac lymph nodes), salvage radical cystoprostatectomy (very difficult due to previous chemotherapy and radiation therapy), and continent urinary diversion with an Indiana pouch.
,TITLE OF OPERATION : , Exploratory laparotomy , resection of small bowel lesion , biopsy of small bowel mesentery , bilateral extended pelvic and iliac lymphadenectomy ( including preaortic and precaval , bilateral common iliac , presacral , bilateral external iliac lymph nodes ) , salvage radical cystoprostatectomy ( very difficult due to previous chemotherapy and radiation therapy ) , and continent urinary diversion with an Indiana pouch .