Krettek Christian, Geerling Jens, Bastian Leonard, Citak Musa, Rücker Ferdinand, Kendoff Daniel, Hüfner Tobias
Department of Traumatology, Hannover Medical School, 30625 Hannover, Germany.
Injury. 2004 Jun;35 Suppl 1:S-A79-83. doi: 10.1016/j.injury.2004.05.014.
Surgical treatment of malignant tumors within the pelvis is a complex problem due to the anatomy and biomechanics. There are standardized preoperative diagnostic tools like computed tomography (CT) or magnetic resonance imaging (MRI) that provide multidimensional information. However, this information cannot be transferred intraoperatively. Computer aided orthopedic surgery (CAOS) may be a solution for precise intraoperative accuracy for these indications. We report on two patients with tumors within the pelvis. In one patient, an infiltrating recurrent chordoma within the sacrum was resected with CAOS. The other patient presented with a periacetabular chondrosarcoma. Resection was done with navigation so precise that a custom-made hemipelvis prosthesis with a special coating fit. In both patients, a complete resection was achieved with tumor-free resection margins. Navigation may be helpful in tumor surgery within the pelvis.
由于解剖结构和生物力学因素,骨盆内恶性肿瘤的外科治疗是一个复杂的问题。有一些标准化的术前诊断工具,如计算机断层扫描(CT)或磁共振成像(MRI),它们能提供多维度信息。然而,这些信息无法在术中传递。计算机辅助骨科手术(CAOS)可能是解决这些适应症术中精确性问题的一种方法。我们报告了两名骨盆内有肿瘤的患者。一名患者骶骨内的浸润性复发性脊索瘤通过CAOS进行了切除。另一名患者患有髋臼周围软骨肉瘤。通过导航进行的切除非常精确,以至于一个定制的带有特殊涂层的半骨盆假体与之适配。两名患者均实现了完整切除,切缘无肿瘤。导航在骨盆内肿瘤手术中可能会有帮助。