Freitas Rosyane Rena de, Crivellaro André Luiz Soares, Mello Glauco José Pauka, Neto Múrio Armani, Filho Geraldo de Freitas, Silva Letícia Viani da
Medical Residents in Oncological Surgery, Erasto Gaertner Hospital, Curitiba, PR.
Orthopedists in the Oncological Orthopedics Service, Erasto Gaertner Hospital, Curitiba, PR.
Rev Bras Ortop. 2015 Nov 17;45(4):413-9. doi: 10.1016/S2255-4971(15)30390-6. eCollection 2010 Jul-Aug.
To show the experience of the Erasto Gaertner Hospital with hemipelvectomy surgery over a 10-year period.
This was a retrospective study on 32 patients who underwent hemipelvectomy at Erasto Gaertner Hospital between 1998 and 2008, assessing clinical and surgical characteristics.
Among the 32 patients, 15 were female and 17 were male. The mean age was 37.94 years. Eight cases showed involvement of the neurovascular bundle: three were located in the iliac and extended to the thigh, two were in the acetabulum and extended to the thigh and three were in the acetabulum and pubis. Twenty-three cases presented a neurovascular bundle free from neoplasia: 11 were restricted to the iliac, six were in the acetabular region, two were in the pubic ramus and four extended to the whole hemipelvis bone. One case involved the iliac-femoral vessels: one in the pubic ramus. Seven cases of chondrosarcoma and four cases of Ewing's sarcoma represented the majority. Eight cases underwent external hemipelvectomy and 24 underwent internal hemipelvectomy (11 were type I; four were type II; two were type II + III; three were type III and four were type IV). Of these 24 cases, 13 did not have any reconstruction, 10 had a fibular graft and one had an iliacfemoral vein and artery prosthesis. Twenty-six surgeries were curative and six were palliative. There were 14 deaths. Survival of two and five years was seen in 11 and 10 cases, respectively. For six cases, less than two years had passed since the operation. Three cases were lost during follow-up.
This study shows the experiences of an oncology reference service specializing in highly complex surgical treatment.
展示埃拉斯托·盖特纳医院在10年期间进行半骨盆切除术的经验。
这是一项对1998年至2008年间在埃拉斯托·盖特纳医院接受半骨盆切除术的32例患者的回顾性研究，评估临床和手术特征。
32例患者中，女性15例，男性17例。平均年龄为37.94岁。8例显示神经血管束受累：3例位于髂骨并延伸至大腿，2例位于髋臼并延伸至大腿，3例位于髋臼和耻骨。23例神经血管束未受肿瘤侵犯：11例局限于髂骨，6例位于髋臼区域，2例位于耻骨支，4例延伸至整个半骨盆骨。1例累及髂股血管：1例位于耻骨支。7例软骨肉瘤和4例尤因肉瘤占大多数。8例行外侧半骨盆切除术，24例行内侧半骨盆切除术（11例为I型；4例为II型；2例为II + III型；3例为III型，4例为IV型）。在这24例中，13例未进行任何重建，10例进行了腓骨移植，1例进行了髂股动静脉假体植入。26例手术为根治性，6例为姑息性。有14例死亡。分别有11例和10例患者存活2年和5年。6例患者术后时间不足2年。3例在随访期间失访。
本研究展示了一家专注于高度复杂手术治疗的肿瘤学参考服务机构的经验。
