Operative treatment of pelvic tumors
著者
書誌事項
Operative treatment of pelvic tumors
Springer, c2003
大学図書館所蔵 全4件
  青森
  岩手
  宮城
  秋田
  山形
  福島
  茨城
  栃木
  群馬
  埼玉
  千葉
  東京
  神奈川
  新潟
  富山
  石川
  福井
  山梨
  長野
  岐阜
  静岡
  愛知
  三重
  滋賀
  京都
  大阪
  兵庫
  奈良
  和歌山
  鳥取
  島根
  岡山
  広島
  山口
  徳島
  香川
  愛媛
  高知
  福岡
  佐賀
  長崎
  熊本
  大分
  宮崎
  鹿児島
  沖縄
  韓国
  中国
  タイ
  イギリス
  ドイツ
  スイス
  フランス
  ベルギー
  オランダ
  スウェーデン
  ノルウェー
  アメリカ
注記
Includes bibliographical references and index
内容説明・目次
内容説明
This book presents our experience in the operative treatment of bone and soft-tissue tumors arising in and around the pelvis, from 1970 to 1999 in the Department of Orthopedic Surgery at the Niigata University Medical Hospital. Histological diagnoses included both benign and malignant tumors. Surgical plan ning was difficult to perform in our early experience in operative treatment, when only angiography and barium enemas were in use. In the meantime, computed tomog raphy scanning and magnetic resonance imaging became available. Subsequent improvement in the quality of these images made three-dimensional surgical plan ning for pelvic tumor removal much easier. Such progress in diagnostic methodolo gies, together with advancements in microsurgical techniques, methods of irradiation, and various adjuvant chemotherapies has led to significant improvements in the treat ment of pelvic tumors. Furthermore, these advancements were enhanced by the avail ability of various conventional and custom-made endoprostheses, plates and screws, spinal instruments, and external fixators made of 3161 stainless steel, titanium, high density polyethylene, and ceramics. Because sacral tumors are so silent and symptomless, they may grow to a large size and be difficult to excise. Removal of sacral tumors might make subjective symptoms worse because the sacrum contains the cauda equina. Excision of a tumor that involves the ilium and sacroiliac joint may interrupt the structural stability of the pelvic ring. A tumor affecting the hip joint may require reconstruction to re-establish the func of the hip and to provide stability for gait after operative treatment.
目次
1: Surgical Anatomy.- Normal Anatomy and Magnetic Resonance Appearance of the Pelvis.- Imaging Examinations of Tumors.- 2: Incidence and Histological Classification.- Incidence and Histological Classification of Pelvic Tumors.- 3: Biopsy.- Efficacy of Aspiration Cytology and a Practical Method of Open Biopsy.- 4: Preparation.- Preparation, Intraoperative Care, and Postoperative Treatment.- 5: Approach.- Systemic Surgical Approach for the Pelvis.- 6: Reconstruction.- Reconstructive Surgery After Wide Resection of Pelvic Tumors.- Microsurgical Reconstruction After Pelvic Tumor Resection.- Simultaneous Reconstruction of the Ilium and Hip Joint with a Free Vascularized Foot-Ankle Joint Graft After Wide Resection of Ewing's Sarcoma of the Ilium.- 7: Related Topics.- Topics Relating to Pregnancy, Reconstruction, Vesicorectal Disturbance, and Complications.- 8: Complications.- Complications and Sequelae.- 9: Outcomes.- Oncological and Functional Outcomes, Vesicorectal Dysfunction, and Complications.- 10: Case Presentations.- Case 1: Resection of a Giant Cell Tumor of the Sacrum, and Unilateral Reconstruction of the Sacroiliac Joint in a 51-Year-Old Woman.- Case 2: Treatment of a Giant Cell Tumor of the Sacrum in a 27-Year-Old Man, Using Four Struts at the Lumbosacral Level to Support the Trunk.- Case 3: Wide Resection of a Malignant Fibrohistiocytoma of the Ilium and Unilateral Reconstruction of the Sacroiliac Joint in a 28-Year-Old Man.- Case 4: Recurrent Synovial Sarcoma of the Pubic Region Treated with a Wide Resection, Including the Pubic Bone and Female Genitalia in a 50-Year-Old Woman.- Case 5: Wide Resection of a Large Chondrosarcoma of the Ilium and Reconstruction of the Pelvic Ring in a 55-Year-Old Man.- Case 6: Reconstruction of the Pelvic Ring and Obturator Nerve with Vascularized Tissue Transfers in a 32-Year-Old Woman with a Chondrosarcoma of the Inferior Pubic Ramus.- Case 7: Partial Resection of the Sacrum and Reconstruction of the Pelvic Ring in a 41-Year-Old Man with a Giant Cell Tumor of the Sacrum.- Case 8: Wide Excision of a Metastatic Renal Cell Carcinoma of the Ilium in a 54-Year-Old Woman.- Case 9: Resection of a Chordoma of the Sacrum in a 40-Year-Old Man.- Case 10: Chondrosarcoma of the Left Acetabulum Treated by Osteotomy and Hip Reconstruction with Conventional Total Hip Arthroplasty in a 62-Year-Old Woman.- Case 11: Internal Hemipelvectomy and Constrained Total Hip Arthroplasty for the Treatment of Chondrosarcoma of the Acetabulum in a 52-Year-Old Woman.- Case 12: Simple Wide Resection of an Osteosarcoma of the Pubis and Reinforcement of the Inguinal Soft Tissue with Marlex Mesh in a 13-Year-Old Girl.- Case 13: Crossover Bypass Graft for Reconstruction of the External Iliac Vein After Resection of a Retroperitoneal Dedifferentiated Liposarcoma in a 60-Year-Old Woman.- Case 14: Massive Sacral Chordoma Resected by a Combination of Anterior and Posterior Approaches in a 50-Year-Old Man.- Case 15: Metastatic Type II Tumor in a 67-Year-Old Man Treated by Standard Total Hip Arthroplasty After Three-Dimensional Pelvic Osteotomy and Preservation of the Posterior Column of the Acetabulum.- Case 16: Successful Delivery After a Hemipelvectomy in a 28-Year-Old Woman with Recurrent Osteosarcoma of the Proximal Femur.- Case 17: En Bloc Resection of the Entire Sacrum and L5 Vertebra for Chondrosarcoma of the Sacrum in a 57-Year-Old Man.- A List of Further References with Remarks.
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