[Long-term result of hemicorporectomy]

Area of Science:

• Oncology
• Surgical Oncology
• Reconstructive Surgery

Background:

• A patient with a history of extensive perianal condylomas developed epidermoid carcinoma.
• Initial treatment involved abdominoperineal resection, complicated by infection and tumor recurrence.

Observation:

• Advanced pelvic cancer invaded the bladder and ischial bone, necessitating a hemicorporectomy.
• The procedure included a one-stem sigmostomy, uretero-ureter anastomosis, and ureterocutaneous stoma.
• Post-operative complications included urolithiasis and subsequent nephrectomy.

Findings:

• Hemicorporectomy achieved a cure for advanced epidermoid carcinoma.
• The patient experienced a 12-year survival period post-surgery.
• A custom prosthesis facilitated mobility and independence.

Implications:

• Hemicorporectomy can be a life-saving option for extensive pelvic malignancies.
• Management of post-operative complications is crucial for long-term outcomes.
• Quality of life can be maintained with appropriate reconstructive techniques and assistive devices.