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Related Experiment Videos

Sacral resection. Operative technique and outcome.

T Touran1, D B Frost, T X O'Connell

  • 1Kaiser Permanente Medical Center, Los Angeles, Calif.

Archives of Surgery (Chicago, Ill. : 1960)
|July 1, 1990
PubMed
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Surgical resection of sacral tumors, including primary tumors and invasive rectal cancers, offers a viable treatment option. This approach can achieve good outcomes, with low mortality and acceptable morbidity in carefully selected patients.

Area of Science:

  • Oncology
  • Surgical Oncology
  • Gastroenterology

Background:

  • Sacral tumors, both primary and metastatic, present significant treatment challenges.
  • Surgical resection is a critical intervention for palliation and cure of sacral tumors.
  • Locally invasive colorectal carcinomas frequently involve the sacrum, complicating treatment.

Purpose of the Study:

  • To evaluate the outcomes of sacral resection for primary sacral tumors and locally invasive anorectal cancers.
  • To assess the safety and efficacy of surgical intervention for complex sacral pathologies.
  • To compare morbidity and mortality rates with existing literature.

Main Methods:

  • Retrospective review of 20 patients undergoing sacral resection.
  • Analysis of cases including 8 primary sacral tumors and 12 locally invasive anorectal cancers.

Related Experiment Videos

  • Evaluation of perioperative outcomes, including mortality, morbidity, and blood loss.

    • Main Results:

    • Zero mortality and acceptable morbidity (35% urinary complications, 25% wound disruptions).
    • Median blood loss of 1600 mL.
    • Long-term survival achieved in patients with primary sacral tumors.
    • Local disease control and pain palliation in most rectal cancer patients, but rare long-term survival.

    Conclusions:

    • Surgical resection of sacral tumors is feasible in selected patients.
    • The procedure can be performed with acceptable morbidity and mortality.
    • Offers potential for cure in primary sacral tumors and good local control in advanced rectal cancers.