Related Experiment Videos
Partial and complete internal hemipelvectomy: complications and long-term follow-up
J P Apffelstaedt1, D L Driscoll, C P Karakousis
1Soft Tissue, Melanoma and Bone Service, Roswell Park Cancer Institute, Buffalo, NY 14263, USA.
Journal of the American College of Surgeons
|July 1, 1995
Summary
Internal hemipelvectomy is a complex surgery for pelvic tumors. While complications occur, it offers better function and survival rates than external hemipelvectomy, especially with curative intent.
Area of Science:
- Surgical Oncology
- Orthopedic Surgery
- Pelvic Reconstruction
Background:
- Complications and long-term outcomes of internal hemipelvectomy are not well-documented.
- Internal hemipelvectomy is a complex surgical procedure.
Purpose of the Study:
- To document the complications and long-term follow-up results of internal hemipelvectomy.
- To evaluate functional outcomes and survival rates associated with internal hemipelvectomy.
Main Methods:
- Retrospective review of 32 internal hemipelvectomy cases performed between 1976 and 1994.
- Analysis of pathological diagnoses, surgical approach, complications, functional status, and survival rates.
Main Results:
- Common diagnoses included soft tissue sarcoma (15) and bone tumors (14).
- Average blood loss was 3.2 L, and operative time averaged 7.5 hours.
- Complications included infection (15 cases) and skin flap necrosis (4 cases). Functional outcomes showed 34% ambulated independently, 59% with crutches, and 7% wheelchair-bound.
- Ten-year survival rates were 45% for curative resections versus 29% at two years for palliative resections.
Conclusions:
- Internal hemipelvectomy is a complex procedure with significant morbidity but offers functional and cosmetic advantages over external hemipelvectomy.
- Curative intent internal hemipelvectomy is associated with considerable long-term survival rates.