Operative Treatment of Pelvic Tumors -

Operative Treatment of Pelvic Tumors

Buch | Softcover
216 Seiten
2014 | Softcover reprint of the original 1st ed. 2003
Springer Verlag, Japan
978-4-431-66867-1 (ISBN)
106,99 inkl. MwSt
This book presents our experience in the operative treatment of bone and soft-tissue tumors arising in and around the pelvis, from 1970 to 1999 in the Department of Orthopedic Surgery at the Niigata University Medical Hospital. Histological diagnoses included both benign and malignant tumors. Surgical plan­ ning was difficult to perform in our early experience in operative treatment, when only angiography and barium enemas were in use. In the meantime, computed tomog­ raphy scanning and magnetic resonance imaging became available. Subsequent improvement in the quality of these images made three-dimensional surgical plan­ ning for pelvic tumor removal much easier. Such progress in diagnostic methodolo­ gies, together with advancements in microsurgical techniques, methods of irradiation, and various adjuvant chemotherapies has led to significant improvements in the treat­ ment of pelvic tumors. Furthermore, these advancements were enhanced by the avail­ ability of various conventional and custom-made endoprostheses, plates and screws, spinal instruments, and external fixators made of 3161 stainless steel, titanium, high­ density polyethylene, and ceramics. Because sacral tumors are so silent and symptomless, they may grow to a large size and be difficult to excise. Removal of sacral tumors might make subjective symptoms worse because the sacrum contains the cauda equina. Excision of a tumor that involves the ilium and sacroiliac joint may interrupt the structural stability of the pelvic ring. A tumor affecting the hip joint may require reconstruction to re-establish the func­ of the hip and to provide stability for gait after operative treatment.

1: Surgical Anatomy.- Normal Anatomy and Magnetic Resonance Appearance of the Pelvis.- Imaging Examinations of Tumors.- 2: Incidence and Histological Classification.- Incidence and Histological Classification of Pelvic Tumors.- 3: Biopsy.- Efficacy of Aspiration Cytology and a Practical Method of Open Biopsy.- 4: Preparation.- Preparation, Intraoperative Care, and Postoperative Treatment.- 5: Approach.- Systemic Surgical Approach for the Pelvis.- 6: Reconstruction.- Reconstructive Surgery After Wide Resection of Pelvic Tumors.- Microsurgical Reconstruction After Pelvic Tumor Resection.- Simultaneous Reconstruction of the Ilium and Hip Joint with a Free Vascularized Foot-Ankle Joint Graft After Wide Resection of Ewing’s Sarcoma of the Ilium.- 7: Related Topics.- Topics Relating to Pregnancy, Reconstruction, Vesicorectal Disturbance, and Complications.- 8: Complications.- Complications and Sequelae.- 9: Outcomes.- Oncological and Functional Outcomes, Vesicorectal Dysfunction, and Complications.- 10: Case Presentations.- Case 1: Resection of a Giant Cell Tumor of the Sacrum, and Unilateral Reconstruction of the Sacroiliac Joint in a 51-Year-Old Woman.- Case 2: Treatment of a Giant Cell Tumor of the Sacrum in a 27-Year-Old Man, Using Four Struts at the Lumbosacral Level to Support the Trunk.- Case 3: Wide Resection of a Malignant Fibrohistiocytoma of the Ilium and Unilateral Reconstruction of the Sacroiliac Joint in a 28-Year-Old Man.- Case 4: Recurrent Synovial Sarcoma of the Pubic Region Treated with a Wide Resection, Including the Pubic Bone and Female Genitalia in a 50-Year-Old Woman.- Case 5: Wide Resection of a Large Chondrosarcoma of the Ilium and Reconstruction of the Pelvic Ring in a 55-Year-Old Man.- Case 6: Reconstruction of the Pelvic Ring and Obturator Nerve with Vascularized Tissue Transfers in a 32-Year-Old Woman with a Chondrosarcoma of the Inferior Pubic Ramus.- Case 7: Partial Resection of the Sacrum and Reconstruction of the Pelvic Ring in a 41-Year-Old Man with a Giant Cell Tumor of the Sacrum.- Case 8: Wide Excision of a Metastatic Renal Cell Carcinoma of the Ilium in a 54-Year-Old Woman.- Case 9: Resection of a Chordoma of the Sacrum in a 40-Year-Old Man.- Case 10: Chondrosarcoma of the Left Acetabulum Treated by Osteotomy and Hip Reconstruction with Conventional Total Hip Arthroplasty in a 62-Year-Old Woman.- Case 11: Internal Hemipelvectomy and Constrained Total Hip Arthroplasty for the Treatment of Chondrosarcoma of the Acetabulum in a 52-Year-Old Woman.- Case 12: Simple Wide Resection of an Osteosarcoma of the Pubis and Reinforcement of the Inguinal Soft Tissue with Marlex Mesh in a 13-Year-Old Girl.- Case 13: Crossover Bypass Graft for Reconstruction of the External Iliac Vein After Resection of a Retroperitoneal Dedifferentiated Liposarcoma in a 60-Year-Old Woman.- Case 14: Massive Sacral Chordoma Resected by a Combination of Anterior and Posterior Approaches in a 50-Year-Old Man.- Case 15: Metastatic Type II Tumor in a 67-Year-Old Man Treated by Standard Total Hip Arthroplasty After Three-Dimensional Pelvic Osteotomy and Preservation of the Posterior Column of the Acetabulum.- Case 16: Successful Delivery After a Hemipelvectomy in a 28-Year-Old Woman with Recurrent Osteosarcoma of the Proximal Femur.- Case 17: En Bloc Resection of the Entire Sacrum and L5 Vertebra for Chondrosarcoma of the Sacrum in a 57-Year-Old Man.- A List of Further References with Remarks.

Erscheint lt. Verlag 20.4.2014
Zusatzinfo XIV, 216 p.
Verlagsort Tokyo
Sprache englisch
Maße 155 x 235 mm
Gewicht 361 g
Themenwelt Medizin / Pharmazie Medizinische Fachgebiete Chirurgie
Medizin / Pharmazie Medizinische Fachgebiete Onkologie
ISBN-10 4-431-66867-5 / 4431668675
ISBN-13 978-4-431-66867-1 / 9784431668671
Zustand Neuware
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