MD Anderson Cancer Center, 1400 Pressler St. Suite FCT 10.5054, Houston, TX, 77030, USA,
Curr Oncol Rep. 2014 Jul;16(7):392. doi: 10.1007/s11912-014-0392-2.
Bone tumor surgery is extremely challenging, particularly when tumors are located in tightly confined anatomical areas and abutting critical organs and neurovascular structures. Tumor resection requires good cutting accuracy to ensure safety, to achieve negative margins, and to preserve critical structures when possible. The purpose of this paper was to review the literature on the surgical advances for bone tumor surgery published within the last year. The majority of literature identified focused on computer-assisted surgical approaches. There is increasing evidence that 3D navigation plays an important role in the resection of bone tumors. Reconstruction materials that encourage healing and prevent infections are also in development. Optimal care includes execution of a well-developed pre-operative plan using a multidisciplinary approach led by the orthopaedic oncologist.
骨肿瘤手术极具挑战性，尤其是当肿瘤位于解剖结构紧密受限的区域，且毗邻重要器官和神经血管结构时。肿瘤切除需要良好的切割精度，以确保安全、实现阴性切缘，并尽可能保留关键结构。本文旨在回顾过去一年中发表的关于骨肿瘤手术外科进展的文献。大多数文献主要关注计算机辅助手术方法。越来越多的证据表明，3D 导航在骨肿瘤切除中发挥着重要作用。正在开发能够促进愈合和预防感染的重建材料。最佳治疗方案包括在骨科肿瘤医生领导的多学科团队的协作下，采用精心制定的术前计划进行手术。
