Hüfner Tobias, Kfuri Maurício, Galanski Michael, Bastian Leonard, Loss Martin, Pohlemann Tim, Krettek Christian
Trauma Department, Hannover Medical School, Hannover, Germany.
Clin Orthop Relat Res. 2004 Sep(426):219-25. doi: 10.1097/01.blo.0000138958.11939.94.
The resection of recurrent malignant pelvic tumors was supported by a commercially available navigation system in three patients. Preoperatively three-dimensional images from the pelvis were obtained by computed tomography or magnetic resonance imaging to identify the tumor extension. During surgery navigated tools oriented the surgeon to excise the tumor with adequate virtual margins. Navigation was helpful for tumor identification in one patient with a recurrent presacral mesenchymal chondrosarcoma. In the other two patients the tumor resection in the bone was done with three-dimensional observation of the osteotomies in the sacrum. In all three patients the histopathologic analysis confirmed that the neoplasms were excised accurately within their margins. We think that computer-assisted surgery is a potential method to increase the accuracy of tumor resections.
三名患者复发性恶性盆腔肿瘤的切除手术由商用导航系统辅助完成。术前通过计算机断层扫描或磁共振成像获取骨盆的三维图像,以确定肿瘤的范围。手术过程中,导航工具引导外科医生切除肿瘤,并保证足够的虚拟切缘。对于一名复发性骶前间叶性软骨肉瘤患者,导航有助于肿瘤的识别。另外两名患者的骨肿瘤切除手术则通过对骶骨截骨的三维观察来进行。所有三名患者的组织病理学分析均证实肿瘤在切缘内被准确切除。我们认为计算机辅助手术是提高肿瘤切除准确性的一种潜在方法。