Computer-aided surgical planning in the treatment of soft-tissue sarcoma

Soft-tissue sarcoma resections are often highly complex procedures that demand meticulous pre-operative planning in order to maximise the potential for complete excision with clear margins, while preserving vital neurovascular structures and muscle groups.

We present a computer-aided model for surgical planning using Microsoft Powerpoint as a tool for cross referencing magnetic resonance images and normal anatomical diagrams.

Using this system the operator follows a sequence of pre-planned steps, minimising intra-operative decision making and unexpected adverse events. Four case studies are discussed.

The visual plan optimises the potential to meet surgical and oncological goals, and serves as an excellent adjunct to the operation note for documentation of the procedure.