Performance and outcome of pelvic exenteration for gynecologic malignancies: A population-based study.

•Pelvic exenteration for gynecologic malignancies was examined between 2001 and 2015.•Patients became more obese and comorbid during the study period.•Multiple complications, prolonged hospitalization, and total charge have increased.•Patient factors for multiple complications: obesity, comorbidity, and recent year surgery•Tumor/surgeon factors: vulvar cancer, vaginal reconstruction, and urinary diversion