Computer-assisted Resection and Reconstruction of Pelvic Tumor Sarcoma

Overview

Journal Sarcoma

Publisher Wiley

Date 2010 Dec 4

PMID 21127723

Citations 26

Authors

Pierre-Louis Docquier

Laurent Paul

Olivier Cartiaux

Christian Delloye

Xavier Banse

Affiliations

Soon will be listed here.

Abstract

Pelvic sarcoma is associated with a relatively poor prognosis, due to the difficulty in obtaining an adequate surgical margin given the complex pelvic anatomy. Magnetic resonance imaging and computerized tomography allow valuable surgical resection planning, but intraoperative localization remains hazardous. Surgical navigation systems could be of great benefit in surgical oncology, especially in difficult tumor location; however, no commercial surgical oncology software is currently available. A customized navigation software was developed and used to perform a synovial sarcoma resection and allograft reconstruction. The software permitted preoperative planning with defined target planes and intraoperative navigation with a free-hand saw blade. The allograft was cut according to the same planes. Histological examination revealed tumor-free resection margins. Allograft fitting to the pelvis of the patient was excellent and allowed stable osteosynthesis. We believe this to be the first case of combined computer-assisted tumor resection and reconstruction with an allograft.

Citing Articles

What to choose in bone tumour resections? Patient specific instrumentation versus surgical navigation: a systematic review.

Bruschi A, Donati D, Di Bella C J Bone Oncol. 2023; 42:100503.

PMID: 37771750 PMC: 10522906. DOI: 10.1016/j.jbo.2023.100503.

3D printing for patient-specific implants in musculoskeletal oncology.

Kotrych D, Angelini A, Bohatyrewicz A, Ruggieri P EFORT Open Rev. 2023; 8(5):331-339.

PMID: 37158428 PMC: 10233802. DOI: 10.1530/EOR-23-0066.

Internal Hemipelvectomy for primary bone sarcomas using intraoperative patient specific instruments- the next step in limb salvage concept.

Benady A, Gortzak Y, Sofer S, Ran Y, Rumack N, Elias A BMC Musculoskelet Disord. 2022; 23(1):1012.

PMID: 36424560 PMC: 9685900. DOI: 10.1186/s12891-022-05918-1.

Automatic Registration and Error Color Maps to Improve Accuracy for Navigated Bone Tumor Surgery Using Intraoperative Cone-Beam CT.

Sahovaler A, Daly M, Chan H, Nayak P, Tzelnick S, Arkhangorodsky M JB JS Open Access. 2022; 7(2).

PMID: 35540727 PMC: 9071254. DOI: 10.2106/JBJS.OA.21.00140.

Navigated multiplanar osteotomies for spinal primary bone tumors.

Landriel F, Albergo J, Farfalli G, Yampolsky C, Ayerza M, Aponte-Tinao L Surg Neurol Int. 2022; 13:58.

PMID: 35242424 PMC: 8888310. DOI: 10.25259/SNI_1232_2021.

References

Nakamura M, Stover T, Rodt T, Majdani O, Lorenz M, Lenarz T . Neuronavigational guidance in craniofacial approaches for large (para)nasal tumors involving the anterior skull base and upper clival lesions. Eur J Surg Oncol. 2008; 35(6):666-72. DOI: 10.1016/j.ejso.2008.10.011. View

Wong K, Kumta S, Antonio G, Tse L . Image fusion for computer-assisted bone tumor surgery. Clin Orthop Relat Res. 2008; 466(10):2533-41. PMC: 2584299. DOI: 10.1007/s11999-008-0374-5. View

Grimer R . Surgical options for children with osteosarcoma. Lancet Oncol. 2005; 6(2):85-92. DOI: 10.1016/S1470-2045(05)01734-1. View

Keppler P, Gebhard F, Grutzner P, Wang G, Zheng G, Hufner T . Computer aided high tibial open wedge osteotomy. Injury. 2004; 35 Suppl 1:S-A68-78. DOI: 10.1016/j.injury.2004.05.013. View

Kojima T, Ishiko O, Ichimura T, Nishimura S, Sumi T, Ueda J . The usefulness and limits of magnetic resonance imaging in the differential diagnosis of pelvic tumors. Oncol Rep. 2001; 8(4):867-9. DOI: 10.3892/or.8.4.867. View

Moroni A, Caja V, Sabato C, Zinghi G . Surgical treatment of both-column fractures by staged combined ilioinguinal and Kocher-Langenbeck approaches. Injury. 1995; 26(4):219-24. DOI: 10.1016/0020-1383(95)00007-v. View

Paul L, Cartiaux O, Docquier P, Banse X . Ergonomic evaluation of 3D plane positioning using a mouse and a haptic device. Int J Med Robot. 2009; 5(4):435-43. DOI: 10.1002/rcs.275. View

Brown G, Firoozbakhsh K, DeCoster T, Reyna Jr J, Moneim M . Rapid prototyping: the future of trauma surgery?. J Bone Joint Surg Am. 2003; 85-A Suppl 4:49-55. View

Reijnders K, Coppes M, van Hulzen A, Gravendeel J, van Ginkel R, Hoekstra H . Image guided surgery: new technology for surgery of soft tissue and bone sarcomas. Eur J Surg Oncol. 2006; 33(3):390-8. DOI: 10.1016/j.ejso.2006.10.030. View

10.

Docquier P, Paul L, Cartiaux O, Banse X . Registration accuracy in computer-assisted pelvic surgery. Comput Aided Surg. 2009; 14(1-3):37-44. DOI: 10.3109/10929080903024361. View

11.

Hufner T, Kfuri Jr M, Galanski M, Bastian L, Loss M, Pohlemann T . New indications for computer-assisted surgery: tumor resection in the pelvis. Clin Orthop Relat Res. 2004; (426):219-25. DOI: 10.1097/01.blo.0000138958.11939.94. View

12.

Cartiaux O, Docquier P, Paul L, Francq B, Cornu O, Delloye C . Surgical inaccuracy of tumor resection and reconstruction within the pelvis: an experimental study. Acta Orthop. 2008; 79(5):695-702. DOI: 10.1080/17453670810016731. View

13.

Cho H, Kang H, Kim H, Han I . Computer-assisted sacral tumor resection. A case report. J Bone Joint Surg Am. 2008; 90(7):1561-6. DOI: 10.2106/JBJS.G.00928. View

14.

Paul L, Docquier P, Cartiaux O, Cornu O, Delloye C, Banse X . Inaccuracy in selection of massive bone allograft using template comparison method. Cell Tissue Bank. 2008; 9(2):83-90. DOI: 10.1007/s10561-008-9061-8. View

15.

Delloye C, Banse X, Brichard B, Docquier P, Cornu O . Pelvic reconstruction with a structural pelvic allograft after resection of a malignant bone tumor. J Bone Joint Surg Am. 2007; 89(3):579-87. DOI: 10.2106/JBJS.E.00943. View

16.

Stiehl J, Heck D . Computer-assisted surgery: basic concepts. Instr Course Lect. 2008; 57:689-97. View

17.

Willems P, Berkelbach van der Sprenkel J, Tulleken C, Viergever M, Taphoorn M . Neuronavigation and surgery of intracerebral tumours. J Neurol. 2006; 253(9):1123-36. DOI: 10.1007/s00415-006-0158-3. View

18.

Jones B, Sundaram M, Kransdorf M . Synovial sarcoma: MR imaging findings in 34 patients. AJR Am J Roentgenol. 1993; 161(4):827-30. DOI: 10.2214/ajr.161.4.8396848. View

19.

ENNEKING W, Dunham W . Resection and reconstruction for primary neoplasms involving the innominate bone. J Bone Joint Surg Am. 1978; 60(6):731-46. View

20.

Gautier E, Bachler R, Heini P, Nolte L . Accuracy of computer-guided screw fixation of the sacroiliac joint. Clin Orthop Relat Res. 2002; (393):310-7. DOI: 10.1097/00003086-200112000-00036. View