Terz J J, Schaffner M J, Goodkin R, Beatty J D, Razor B, Weliky A, Shimabukuro C
Division of Surgery, City of Hope National Medical Center, California 91010.
Cancer. 1990 Jun 15;65(12):2668-75. doi: 10.1002/1097-0142(19900615)65:12<2668::aid-cncr2820651212>3.0.co;2-i.
Six patients underwent translumbar amputation (TLA), a life-saving procedure, after standard modalities of therapy failed to control the progression of the disease. The primary diagnoses were as follows: pelvic arterial-venous (A-V) malformation, 1; sacral chordoma, 3; giant cell tumor of the sacrum, 1; and paraplegia with squamous cell cancer arising in intractable decubitus, 1. There were no operative deaths. The following postoperative complications developed in five patients: urinary fistulae, 2; small bowel obstruction, 1; intraabdominal bleeding, 1; hypertension, 2; small bowel fistula, 1; and dehiscence of skin closure, 1. Two patients died with distant metastases (24 months) and distant metastases with local recurrence (6 months). The remaining four patients were alive and well 72, 56, 48, and 18 months after the surgical procedure. All of these patients have reached the rehabilitation goals.
6例患者在标准治疗方式未能控制疾病进展后，接受了挽救生命的经腰截肢术（TLA）。主要诊断如下：盆腔动静脉畸形1例；骶骨脊索瘤3例；骶骨巨细胞瘤1例；因顽固性褥疮并发鳞状细胞癌导致截瘫1例。无手术死亡病例。5例患者出现了以下术后并发症：尿瘘2例；小肠梗阻1例；腹腔内出血1例；高血压2例；小肠瘘1例；皮肤切口裂开1例。2例患者死于远处转移（24个月）以及远处转移伴局部复发（6个月）。其余4例患者在手术后72、56、48和18个月时存活且情况良好。所有这些患者均达到了康复目标。
