Chapter

Treatment of Bone and Soft Tissue Sarcomas

Volume 179 of the series Recent Results in Cancer Research pp 169-182

Computer-Assisted Pelvic Tumor Resection: Fields of Application, Limits, and Perspectives

  • Sebastian FehlbergAffiliated withDepartment of Orthopedic Oncology, Sarkomzentrum Berlin-Brandenburg, Helios Klinikum Berlin-Buch
  • , Sebastian EulensteinAffiliated withClinic for Surgery and Surgical Oncology, Charité Campus Buch, Robert-Rössle-Klinik
  • , Thomas LangeAffiliated withClinic for Surgery and Surgical Oncology, Charité Campus Buch, Robert-Rössle-Klinik
  • , Dimosthenis AndreouAffiliated withDepartment of Orthopedic Oncology, Sarkomzentrum Berlin-Brandenburg, Helios Klinikum Berlin-Buch
  • , Per-Ulf TunnAffiliated with

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Abstract

The treatment of malignant tumors involving the pelvic area is a challenging problem in musculoskeletal oncology due to the complex pelvic anatomy and the often large tumor size at presentation. The use of navigation systems has effectively increased surgical precision aiming at optimal preservation of pelvic structures without compromising oncologic outcome by means of improved visibility of the surgical field, and enabling intraoperative display and 3D reproduction of preoperatively determined pelvic osteotomy and resection levels. In the following sections, current developments in computer-assisted pelvic surgery are reviewed and possible fields of application, as well as limitations of navigation systems, are discussed.