Operative Treatment of Pelvic Tumors

by Takahashi, H. E.; Morita, T.; Hotta, T.; Ogose, A.

• ISBN13: 9784431703303
• ISBN10: 4431703306
• Format: Hardcover
• Copyright: 2002-10-01
• Publisher: Springer Nature

Summary

This important reference book presents the experience of Japanese surgeons in the operative treatment of bone and soft-tissue tumors arising in and around the pelvis. Drawing on more than three decades of work in the field, the authors chart the progress they have witnessed and helped to bring about in the diagnosis and treatment of pelvic tumors. Among those developments are improvements in imaging and other diagnostic methodologies, as well as advancements in microsurgery, methods of irradiation, and adjuvant chemotherapy. Major sections of the book include surgical anatomy, histological classification, biopsy, preparation, surgical approach, reconstructive surgery, and complications and sequelae. Seventeen illustrative cases present the outcomes of a broad spectrum of operative treatments, creating a valuable resource and reference for orthopedic surgeons, oncologists, and all who are involved in the diagnosis and treatment of pelvic tumors.

Table of Contents

Preface	vii
Contributors	xiii
Introduction	1	(3)
T. Morita
Surgical Anatomy
Normal Anatomy and Magnetic Resonance Appearance of the Pelvis	4	(18)
T. Higuchi
Imaging Examinations of Tumors	22	(4)
T. Hotta
Incidence and Histological Classification
Incidence and Histological Classification of Pelvic Tumors	26	(4)
A. Ogose
Biopsy
Efficacy of Aspiration Cytology and a Practical Method of Open Biopsy	30	(6)
T. Hotta
Preparation
Preparation, Intraoperative Care, and Postoperative Treatment	36	(6)
T. Morita
Approach
Systemic Surgical Approach for the Pelvis	42	(22)
T. Hotta
Reconstruction
Reconstructive Surgery After Wide Resection of Pelvic Tumors	64	(12)
H.E. Takahashi
Microsurgical Reconstruction After Pelvic Tumor Resection	76	(12)
M. Shibata
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	88	(10)
H. Saito
Related Topics
Topics Relating to Pregnancy, Reconstruction, Vesicorectal Disturbance, and Complications	98	(6)
T. Hotta
T. Morita
Complications
Complications and Sequelae	104	(6)
T. Tojo
Outcomes
Oncological and Functional Outcomes, Vesicorectal Dysfunction, and Complications	110	(8)
T. Hotta
Case Presentations
Resection of a Giant Cell Tumor of the Sacrum, and Unilateral Reconstruction of the Sacroiliac Joint in a 51-Year-Old Woman	118	(4)
H.E. Takahashi
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	122	(4)
H.E. Takahashi
Wide Resection of a Malignant Fibrohistiocytoma of the Ilium and Unilateral Reconstruction of the Sacroiliac Joint in a 28-Year-Old Man	126	(5)
H.E. Takahashi
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	131	(3)
H.E. Takahashi
Wide Resection of a Large Chondrosarcoma of the Ilium and Reconstruction of the Pelvic Ring in a 55-Year-Old Man	134	(4)
Y. Inoue
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	138	(5)
Y. Inoue
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	143	(5)
Y. Inoue
Wide Excision of a Metastatic Renal Cell Carcinoma of the Ilium in a 54-Year-Old Woman	148	(3)
Y. Inoue
Resection of a Chordoma of the Sacrum in a 40-Year-Old Man	151	(3)
T. Hotta
Chondrosarcoma of the Left Acetabulum Treated by Osteotomy and Hip Reconstruction with Conventional Total Hip Arthroplasty in a 62-Year-Old Woman	154	(5)
T. Hotta
Internal Hemipelvectomy and Constrained Total Hip Arthroplasty for the Treatment of Chondrosarcoma of the Acetabulum in a 52-Year-Old Woman	159	(5)
T. Hotta
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	164	(4)
T. Hotta
Crossover Bypass Graft for Reconstruction of the External Iliac Vein After Resection of a Retroperitoneal Dedifferentiated Liposarcoma in a 60-Year-Old Woman	168	(5)
T. Hotta
Massive Sacral Chordoma Resected by a Combination of Anterior and Posterior Approaches in a 50-Year-Old Man	173	(5)
T. Morita
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	178	(5)
T. Hotta
Successful Delivery After a Hemipelvectomy in a 28-Year-Old Woman with Recurrent Osteosarcoma of the Proximal Femur	183	(2)
A. Ogose
En Bloc Resection of the Entire Sacrum and L5 Vertebra for Chondrosarcoma of the Sacrum in a 57-Year-Old Man	185	(6)
A. Ogose
T. Morita
A List of Further References with Remarks	191	(21)
Subject Index	212