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Related Experiment Videos

Translumbar amputation: the longest survivor--a case update

A R Mackenzie1

  • 1Department of Surgery, Long Beach Medical Center, NY, USA.

The Mount Sinai Journal of Medicine, New York
|September 1, 1995
PubMed
Summary

Translumbar amputation (hemicorporectomy) is a rare, radical surgery. While survival varies, it offers a life-saving option for select patients with severe conditions when other treatments fail.

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Area of Science:

  • Surgical Oncology
  • Abdominal Surgery

Background:

  • Translumbar amputation, or hemicorporectomy, is a rare surgical procedure first described in the mid-20th century.
  • Approximately 44 cases have been reported, with variations in surgical approach over time.

Observation:

  • The procedure has been performed in 44 reported patients over 30 years.
  • The author prefers a two-stage approach involving initial laparotomy and diversion maturation, followed by amputation.
  • Careful central venous pressure monitoring is crucial to prevent fatal overhydration, a complication in early cases.

Findings:

  • No operative deaths occurred in the reported series.
  • Eight out of 44 patients died within one month post-operation.
  • Survival rates are lower for cancer patients compared to those with benign conditions.

Implications:

  • Hemicorporectomy remains a viable, albeit extreme, option for life preservation when all other therapies are exhausted.
  • Long-term survival, even with advanced cancer, is possible, as demonstrated by a case surviving over 28 years.
  • Continued surgical innovation and patient selection are vital for this radical procedure.

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