Warr Salin Pereira, Jaramillo Paula M, Franco Sebastian Tobon, Valderrama-Molina Carlos Oliver, Franco Alfredo Constain
Pablo Tobón Uribe Hospital, Medellín, Colombia.
Department of Surgery, University of Antioquia, Medellin, Colombia.
Eur J Orthop Surg Traumatol. 2018 May;28(4):735-739. doi: 10.1007/s00590-018-2140-z. Epub 2018 Feb 10.
Hemicorporectomy is an ultra-radical surgery used only in extreme circumstances. Initially used for advanced pelvic neoplastic diseases and intractable pelvic infection, it may also be the only treatment option in patients with crushed pelvic trauma, in cases there are no reconstruction options. This procedure has a high mortality, and its success depends on the multidisciplinary approach, both in the initial phase and in the rehabilitation process. We present the case of a young patient with severe pelvic trauma that required a hemicorporectomy as the only treatment option and review of the literature.
半体切除术是一种仅在极端情况下使用的超根治性手术。最初用于晚期盆腔肿瘤疾病和顽固性盆腔感染,在没有重建选择的情况下,对于骨盆挤压伤患者,它也可能是唯一的治疗选择。该手术死亡率高,其成功与否取决于初始阶段和康复过程中的多学科方法。我们报告一例年轻的严重骨盆创伤患者,其需要进行半体切除术作为唯一的治疗选择,并对文献进行综述。