International Journal of Clinical Oncology

, Volume 18, Issue 4, pp 566–573 | Cite as

Recent advances in reconstructive surgery for bone and soft tissue sarcomas

  • Masayuki SawaizumiEmail author
  • Tomohiro Imai
  • Seiichi Matsumoto
Special Article


We present the current perspective on reconstructive surgery for soft tissue tumors, especially in the extremities, based on our large series. A total of 1,813 patients with bone and soft tissue sarcomas underwent surgery at our hospital between 1978 and 2011. Reconstructive operations were performed by plastic surgeons. In such reconstructive surgery, to achieve better quality of life for the patient, great effort was made not only for limb salvage but also for functional reconstruction. Although a few surgeries resulted in limb amputation due to multiple tumors, recurrence, or advanced age of the patient, the rate of limb salvage and/or functional recovery has been increasing dramatically using the method of flap surgery and vascular reconstruction. In fact, over more than 30 years, the limb salvage rate at our hospital has increased from 71.6 % around 1980 to 90.5 % around 2010. In this article, we describe our experience in plastic and reconstructive surgeries after operation for bone and soft tissue sarcomas.


Soft tissue sarcoma Plastic surgery Limb salvage Reconstruction 



This research was supported in part by a grant from Ministry of Health and Welfare, Japan (2007–2009).

Conflict of interest

The authors declare that they have no conflict of interest.


  1. 1.
    Enneking WF (1983) Musculoskeletal tumor surgery, vol. 1. Churchill LivingstoneGoogle Scholar
  2. 2.
    Kleihues P, Cavenee WK (2000) World Health Organization Classification of Tumours of the Nerve System. LARC Press, LyonGoogle Scholar
  3. 3.
    Matsumoto S, Kawaguchi N, Manabe J (2002) “In situ preparation”: new surgical procedure indicated for soft-tissue sarcoma of a lower limb in closed major neurovascular structures. Int J Oncol 7:51–56Google Scholar
  4. 4.
    Enneking WF, Dunham W, Gekdt MC et al (1993) A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop 286:241–246PubMedGoogle Scholar
  5. 5.
    Sawaizumi M, Maruyama Y, Kawaguchi N (1995) Vertical double-flap design for repair of wide defects of the lower limb, using combined ascending scapular and latissimus dorsi flaps. J Reconstr Microsurg 11:407–414PubMedCrossRefGoogle Scholar
  6. 6.
    Sawaizumi M, Maruyama Y (1996) Sliding-shape designed latissimus dorsi flap. Ann Plast Surg 37:317–321PubMedCrossRefGoogle Scholar

Copyright information

© Japan Society of Clinical Oncology 2013

Authors and Affiliations

  • Masayuki Sawaizumi
    • 1
    Email author
  • Tomohiro Imai
    • 1
  • Seiichi Matsumoto
    • 2
  1. 1.Department of Plastic SurgeryCancer Institute Ariake HospitalTokyoJapan
  2. 2.Department of Orthopedic SurgeryCancer Institute Ariake HospitalTokyoJapan

Personalised recommendations