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Oncologic outcome following surgery for sacral chordoma: 20 years’ experienceтезисы доклада
- Авторы: Musaev E., Sofronov D., Sushentsov E., Aliev M.
- Сборник: 2016 EMSOS Book of abstracts2016 EMSOS Book of abstracts2016 EMSOS Book of abstracts2016 EMSOS Book of abstracts
- Тезисы
- Год издания: 2016
- Номер статьи: 1313
- Аннотация: Introduction Bone tumors of the sacroiliac joint often have a poor prognosis because of late diagnosis and difficult treatment. The aim of the study to assess the surgical technique of reconstruction of the sacroiliac joint after resection of pelvic bone tumors and to determine oncological and functional results. Material and methods. Since 2005 to 2015 years 27 patients with bone tumors of sacroiliac joints were operated in Russian Cancer Research Center. In all cases reconstruction of pelvic ring were performed. Patient with acetabulum involvement were excluded. There were 2 benign and 25 malignant tumors. The most often histological type was chondrosarcoma. Surgical procedure included tumor removing, reconstruction of pelvic ring with screws and rods and followed rectoabdominal flap rotation for adequate wound covering. In 7 cases we used computed-assisted navigation for safe margin during resection. The functional results were based on MSTS scoring system. Results. The mean surgical time was 7 hours, mean bloodloss was 2400 ml. Resection with clear margin was achieved in twenty-six patients, and contaminated only on 1 patient. Twelve patients died: ten patients died due to tumor progression and two patients from other reasons. Local recurrence occurred in 6 cases (3 with distant mets). Deep infection observed in three patients (without rectoabdominal flap rotation), other patients had good wound healing. Functional results depended on nerve roots sacrifice due to involving in tumor. Conclusion. Tumor resection of sacroiliac joint tumors is a difficult surgical procedure with uncertain prognosis. Radical surgery, reconstruction of pelvic ring and rectoabdominal flap rotation should be the treatment of choice for this tumors.
- Добавил в систему: Софронов Денис Игоревич