Journal of Clinical and Investigative Surgery
Florin Groșeanu1, Roman Popescu2, Stefan Cuculici2, Mihai V. Popescu1, Cristea Ștefan1
1Carol Davila University, Department of Orthopedics, Bucharest, Romania
2St. Pantelimon Hospital, Department of Orthopedics, Bucharest, Romania
The partial or complete excision of the hemipelvis with sparing of the lower limb is an option of the treatment of pelvic chondrosarcoma and a therapeutic alternative of the interilio-abdominal disarticulation. The operation has in principle the same indications as the interilio-abdominal disarticulation and offers a good solution for avoiding a mutilating operation.
The 149 cases include: 120 biopsies, 29 excisional biopsies, 6 interilio-abdominal disarticulations and 14 resections – reconstruction’s, one of with prosthetic reconstruction.
The prognostic score was established by assessing: the surgical stage, the site of the tumor, the surgical margins of the tumor, the functional mobility and the postoperative activity. The wide excision of the tumor, a stable reconstruction and an efficient recovery are essential for a successful treatment of pelvic chondrosarcoma.
The limb sparing resection-reconstruction represents a highly surgical demanding procedure, followed up by complications in 60% of the cases, so that should be performed only by high skilled surgeons. Hemipelvectomy still remains a well-established life-saving surgery method for patients suffering from vast oncological extensions, where a pelvic resection is not an option.