Advertisement

Operations for Sarcomas on the Lower Extremity

  • Walter LawrenceJr.
  • James P. Neifeld
  • Jose J. Terz
Part of the Comprehensive Manuals of Surgical Specialties book series (CMSS)

Abstract

From the standpoint of choice of operative procedure, it is fortunate that the thigh is one of the more frequent sites of origin of soft-tissue sarcomas. Both the anatomy and bulk of tissue in this site often allow an adequate soft-part resection in terms of tumor margin, and “limb salvage” can be achieved. It is also possible in many instances to obtain an adequate local margin around the sarcoma by wide but intracompartmental excision. However, the size of the sarcoma and the nonfunctional nature of the musculature proximal and distal to the muscle resection usually lead to essentially total compartmental resection. The choice of patients for amputation is made on an anatomic basis, with standard operative techniques being employed except for proximal thigh and buttock lesions. The technique of hemipelvectomy or hip joint disarticulation is utilized if amputation is required.

Keywords

Sciatic Nerve Skin Flap Sacroiliac Joint Calf Musculature Common Peroneal Nerve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

References

  1. 1.
    Bowden L, Booher RJ: Surgical considerations in the treatment of sarcoma of the buttock. Cancer 6: 89 – 99, 1953.PubMedCrossRefGoogle Scholar
  2. 2.
    Gerson R, Shiu MH, Hajdu SI: Sarcoma of the buttock: a trend toward limb- saving resection. J Surg Oncol 19: 238 – 242, 1982.PubMedCrossRefGoogle Scholar
  3. 3.
    Sugarbaker PH, Chretien PA: A surgical technique for buttockectomy. Surgery 91: 104 – 107, 1982.PubMedGoogle Scholar
  4. 4.
    Wanebo HJ, Shah J, Knapper W, Hajdu SI, Booher R: Reappraisal of surgical management of sarcoma of the buttock. Cancer 31: 97 – 104, 1973.PubMedCrossRefGoogle Scholar

References

  1. 1.
    Ariel IM, Shah JB: The conservative hemipelvectomy. Surg Gynecol Obstet 144: 407 – 413, 1977.Google Scholar
  2. 2.
    Brunschwig A, Barber HRK: Pelvic exenteration combined with resection of segments of bony pelvis. Surgery 65: 417 – 420, 1969.PubMedGoogle Scholar
  3. 3.
    Eilber FR, Grant TT, Sakai D, Morton DL: Internal hemipelvectomy—excision of the hemipelvis with limb preservation. Cancer 43: 806 – 809, 1979.PubMedCrossRefGoogle Scholar
  4. 4.
    Enneking WF, Spanier SS, Malawer MM: The effect of the anatomic setting on the results of surgical procedures for soft parts sarcoma of the thigh. Cancer 47: 1005 – 1022, 1981.PubMedCrossRefGoogle Scholar
  5. 5.
    Erickson U, Hielstedt A: Limb-saving radical resection of chondrosarcoma of the pelvis. J Bone Joint Surg 58-A: 568 - 570, 1978.Google Scholar
  6. 6.
    Frey C, Matthews LS, Benjamin H, Fidler WJ: A new technique for hemipelvec-tomy. Surg Gynecol Obstet 143: 753 – 756, 1976.PubMedGoogle Scholar
  7. 7.
    Girard Ch: Desarticulation de l’os iliaque pour Sarcome. Reve de Chir 15: 952, 1895.Google Scholar
  8. 8.
    Gordon-Taylor G, Wiles P: Interinnominoabdominal (hindquarter) amputation. Br J Surg 22: 671 – 695, 1935.CrossRefGoogle Scholar
  9. 9.
    Pack GT: Major exarticulations for malignant neoplasms of the extremities: inter- scapulothoracic amputation, hip joint disarticulation, and interilioabdominal am¬putation. J Bone Joint Surg 38-A: 249 - 262, 1956.Google Scholar
  10. 10.
    Pack GT, Ariel IM: Tumors of the Soft Somatic Tissues (A Clinical Treatise). New York, Paul B Hoeber, 1968, pp 105 – 122.Google Scholar
  11. 11.
    Ravitch MM, Wilson TC: Long-term results of hemipelvectomy. Ann Surg 159: 667 – 682, 1964.PubMedCrossRefGoogle Scholar
  12. 12.
    Sherman CD Jr, Duthie RB: Modified hemipelvectomy. Cancer 13: 51 – 54, 1960.PubMedCrossRefGoogle Scholar
  13. 13.
    Steel HH: Resection of the hemipelvis for malignant diseases. (An alternative to hindquarter amputation for periacetabular chondrosarcoma of the pelvis). Se- min Oncol 8: 222 – 228, 1981.Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1983

Authors and Affiliations

  • Walter LawrenceJr.
    • 1
    • 2
  • James P. Neifeld
    • 1
    • 2
  • Jose J. Terz
    • 3
  1. 1.Division of Surgical OncologyMedical College of Virginia (Virginia Commonwealth University)RichmondUSA
  2. 2.Massey Cancer CenterMedical College of Virginia (Virginia Commonwealth University)RichmondUSA
  3. 3.Department of General Oncologic SurgeryCity of Hope National Medical CenterDuarteUSA

Personalised recommendations