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Computer-assisted resection and reconstruction of pelvic tumor sarcoma

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Docquier, Pierre-Louis [UCL] Paul, Laurent [UCL] Cartiaux, Olivier [UCL] Banse, Xavier [UCL]

Pelvic sarcoma is associated with a relatively poor prognosis, due to the difficulty in obtaining an adequate surgical margin given the complex pelvic anatomy. Magnetic resonance imaging and computerized tomography allow valuable surgical resection planning, but intraoperative localization remains hazardous. Surgical navigation systems could be of great benefit in surgical oncology, especially in difficult tumor location; however, no commercial surgical oncology software is currently available. A customized navigation software was developed and used to perform a synovial sarcoma resection and allograft reconstruction. The software permitted preoperative planning with defined target planes and intraoperative navigation with a free-hand saw blade. The allograft was cut according to the same planes. Histological examination revealed tumor-free resection margins. Allograft fitting to the pelvis of the patient was excellent and allowed stable osteosynthesis. We believe this to be the first case of combined computer-assisted tumor resection and reconstruction with an allograft.

Document type Article de périodique (Journal article)
Access type Accès libre
Publication date 2010
Language Anglais
Journal information "Sarcoma" - Vol. Volume online 2010, Article ID 125162, no.1, p. 8 pages (2010)
Peer reviewed yes
Publisher Hindawi Publishing Corporation ((United States) New York)
issn 1357-714X
e-issn 1369-1643
Publication status Publié
Affiliations UCL - SSS/IREC/CARS - Computer Assisted Robotic Surgery
UCL - (SLuc) Service d'orthopédie et de traumatologie de l'appareil locomoteur
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Bibliographic reference Docquier, Pierre-Louis ; Paul, Laurent ; Cartiaux, Olivier ; Banse, Xavier. Computer-assisted resection and reconstruction of pelvic tumor sarcoma. In: Sarcoma, Vol. Volume online 2010, Article ID 125162, no.1, p. 8 pages (2010)
Permanent URL http://hdl.handle.net/2078.1/124294