Abdominosacral resection for malignant tumors of the sacrum

doi:10.1016/0002-9610(84)90304-0

The American Journal of Surgery

Volume 148, Issue 1, July 1984, Pages 157-161

https://doi.org/10.1016/0002-9610(84)90304-0 Get rights and content

Abstract

Malignant sacral tumors present unique problems because of their location deep in the pelvis, their juxtaposition to the ureters, rectum, and iliac vessels, and the need to preserve spinal stability and sacral nerve function after resection. The simultaneous abdominosacral resection circumvents many of these problems since it provides good exposure of the intraabdominal structures, allows precise selection of the level of sacral resection, and avoids damage to the sacral nerve roots. Tolerable control of bladder and bowel functions is possible by preservation of the S1 nerve roots, and spinal stability can be maintained with preservation of the body of the S1 vertebra. Because malignant tumors of the sacrum have a high propensity for local recurrence, we believe that the exposure afforded by the sacroabdominal approach provides an opportunity to obtain a wide margin of resection during initial resection of these tumors.

References (3)

ER Mindell
Current concepts review chordoma
J Bone Joint Surg
(1981)

There are more references available in the full text version of this article.

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Citation Excerpt :
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^☆: Presented at the 55th Annual Meeting of the Pacific Coast Surgical Association, Newport Beach, California, February 19–22, 1984.

¹: From the Division of Surgical Oncology, John Wayne Clinic, Jonsson Comprehensive Cancer Center, UCLA School of Medicine, Los Angeles, California.

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Scientific paperAbdominosacral resection for malignant tumors of the sacrum☆

Abstract

Current concepts review chordoma

J Bone Joint Surg

Scientific paper
Abdominosacral resection for malignant tumors of the sacrum☆