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Hemicorporectomy.

J B Aust, C P Page

    Journal of Surgical Oncology
    |December 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Translumbar amputation, also known as hemicorporectomy, offers a life-saving option for pelvic malignancies and sepsis. This complex surgery can lead to cancer control, sepsis relief, and patient survival after extensive rehabilitation.

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    Area of Science:

    • Surgical Oncology
    • Pelvic Surgery
    • Reconstructive Surgery

    Background:

    • Translumbar amputation (hemicorporectomy) is a radical surgical procedure indicated for specific life-threatening conditions.
    • Feasibility was established through cadaver dissections prior to the first human procedure in 1961.
    • The surgery involves removal of the lower body from the lumbar spine downwards.

    Observation:

    • This study reviews a 20-year experience with translumbar amputation.
    • Indications include slow-growing pelvic and perineal malignancies.
    • Advanced sepsis involving pelvic bony structures is another key indication.

    Findings:

    • The procedure achieved control of malignant processes in two patients.
    • Relief from chronic pelvic sepsis was observed in four patients.

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  • Six patients survived the surgery and were discharged after lengthy rehabilitation.

    • Implications:

    • Translumbar amputation can be a viable, albeit extreme, option for managing advanced pelvic cancers and intractable pelvic sepsis.
    • Successful outcomes are linked to careful patient selection and comprehensive post-operative care.
    • The surgery offers a chance for survival and improved quality of life in select, critically ill patients.