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INTERNAL HEMIPELVECTOMY: REPORT ONEIGHT CASES
Alexandre Ferreira Oliveira1, Leonardo José Vieira2, Antônio Carlos Rodrigues do Nascimento3
1Specialization in Oncological Surgery at the Brazilian National Cancer Institute (INCA) - RJ; Doctor's degree in Surgery, FMUSP; Associate Professor of Oncology at the Universidade Federal de Juiz de Fora - Juiz de Fora, MG, Brazil.
Abstract:
Internal hemipelvectomy is a surgical procedure adequate for treatment of certain tumors of the pelvic girdle. Being a lower limb-preserving approach, it is a therapeutic alternative to the classical interilioabdominal amputation and hip joint disarticulation. According to Enneking's classification, there are four types of internal hemipelvectomies, although the association of different types of resection in the same procedure is feasible if necesary. This surgical approach should be correctly indicated to positively affect the patient's morbidity, mortality and quality of life. We report eight cases of internal hemipelvectomy in patients diagnosed with tumors of the pelvic girdle. We also discuss the neoadjuvant and adjuvant treatments used, along with their follow-up.
