Complications and Outcome of External Hemipelvectomy in the Management of Pelvic Tumors

Overview

Journal Ann Surg Oncol

Publisher Springer

Specialty Oncology

Date 1996 May 1

PMID 8726187

Citations 25

Authors

J P Apffelstaedt

D L Driscoll

J E Spellman

A F Velez

J F Gibbs

C P Karakousis

Affiliations

Soon will be listed here.

Abstract

Background: Although the technique of external hemipelvectomy has been adequately described, little is known about its complications and late results.

Design: Retrospective review of 68 external hemipelvectomies performed at our Institute between 1973 and 1994.

Materials And Methods: Eleven patients had bone tumor; 39 patients, soft-tissue sarcoma; seven patients, melanoma; 10 patients, squamous cell carcinoma; and one patient, giant neurofibroma. In 48 (71%) patients, the intent was curative. In 17 cases, the hemipelvectomy was extended.

Results: Postoperative complications occurred in 36 (53%) patients, including flap necrosis in 11 (16%), wound infection in 24 (35%), and other complications in 12 (18%). Four (6%) patients died postoperatively. The average hospital stay after curative versus palliative resection was 39 versus 24 days. Only three (5%) patients were able to use a prosthesis, whereas 55 (81%) used crutches, six (9%) remained wheelchair bound, and four patients (6%) spent most of the time in bed. Local recurrence occurred in 35% of the patients. The estimated 5-year survival for curatively resected patients was 21%.

Conclusions: External hemipelvectomy is a procedure with considerable morbidity and is indicated for only a minority of far-advanced tumors. It offers a chance of palliation and possibly cure when lesser surgical options have been exhausted.

Citing Articles

External Hemipelvectomy in Soft Tissue Sarcomas: Are They Still Needed?.

Ramos Pascua L, Casas Ramos P, De la Cruz Gutierrez L, Negri M, Vilar Gonzalez E, Cordova Peralta J Cancers (Basel). 2024; 16(22).

PMID: 39594784 PMC: 11593110. DOI: 10.3390/cancers16223828.

Clinical Consequences of Unreconstructed Pelvic Defect Caused by Osteosarcoma with Subsequent Progressive Scoliosis in a Pediatric Patient-Case Report.

Zacha S, Kotrych K, Zacha W, Biernawska J, Ali A, Ciechanowicz D Children (Basel). 2024; 11(5).

PMID: 38790602 PMC: 11120253. DOI: 10.3390/children11050607.

Circulating exosomal microRNAs as potential prognostic biomarkers in gastrointestinal cancers: a systematic review and meta-analysis.

Gheytanchi E, Tajik F, Razmi M, Babashah S, Cho W, Tanha K Cancer Cell Int. 2023; 23(1):10.

PMID: 36670440 PMC: 9862982. DOI: 10.1186/s12935-023-02851-8.

Management of Free Fillet Flap Transfers in Large Oncologic Resections.

Movtchan N, Kandi L, Teven C, Reece E, Rebecca A Plast Reconstr Surg Glob Open. 2022; 10(11):e4689.

PMID: 36448014 PMC: 9699504. DOI: 10.1097/GOX.0000000000004689.

Comparative study of pelvic sarcoma patients undergoing internal and external hemipelvectomy: A meta-analysis study.

Banskota N, Yang H, Fang X, Yuan D, Zhang W, Duan H Front Surg. 2022; 9:988331.

PMID: 36311928 PMC: 9614061. DOI: 10.3389/fsurg.2022.988331.

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