BookWei Guo, Francis J. Hornicek, Franklin H. Sim, editors.
Summary: This book introduces the current state of surgical treatment in this particular location-sacrum and pelvis, presenting progress and innovation, describing in detail the related procedures. The book comprises three main parts, pelvic, sacral and typical cases. In each part, chapters are organized in a parallel fashion, with general considerations, surgical approaches and commonly used procedures. This helps to illustrate and detail the surgical techniques involved. This book is valuable for surgeons dealing with this challenging disease. Additionally, it summarizes and reinforces the previous knowledge of techniques in this field. Wei Guo is a Professor at Musculoskeletal Tumor Center, Peoples Hospital, Peking University, China. Francis Hornicek is Chief at Orthopaedic Oncology Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. Franklin H. Sim is a Professor of Orthopedics at the Department of Orthopedics, Mayo Clinic, Rochester, MN, USA.
Contents:
Intro
Surgery of the Pelvic and Sacral Tumor
Contents
Part I: Pelvic Tumors: The Fundamentals
1: Pelvis: General Considerations
1.1 Important Considerations When Planning Treatment of Pelvic Tumours
1.2 Aetiology of Pelvic Tumours
1.2.1 Primary Tumours
1.2.2 Secondary Tumours
1.3 Symptoms of Pelvic Tumours
1.4 Imaging Modalities
1.4.1 Plain Radiography
1.4.2 Computed Tomograph
1.4.3 Magnetic Resonance Imaging
1.4.4 Angiography
1.4.5 Functional Imaging
1.5 Anatomic Considerations
1.6 Anaesthetic Considerations 1.7 Positioning and Pressure Care
1.8 Post-operative Analgesia
References
2: Anatomy and Physiology of the Pelvis
2.1 Introduction
2.2 Osteology
2.2.1 Sacrum
2.2.2 Innominate Bones
2.2.2.1 Sacroiliac Joint
2.2.2.2 Sacrospinous Ligament
2.2.2.3 Sacrotuberous Ligament
2.2.2.4 Pubic Symphysis
2.3 Musculature
2.4 Vascular Anatomy
2.5 Genitourinary System
2.6 Large Bowel
2.7 Lumbar/Sacral Nerves
Bibliography
3: Imaging Modalities and Differential Diagnosis
3.1 Introduction
3.2 Imaging Modalities
3.2.1 Plain Radiographs 3.2.2 Computed Tomography
3.2.3 Magnetic Resonance Imaging
3.2.4 Positron Emission Tomography/Computed Tomography
3.3 Imaging Features of Common Pelvic Tumors
3.3.1 Malignant Lesions
3.3.1.1 Chondrosarcoma
3.3.1.2 Osteogenic Sarcoma
3.3.1.3 Ewing Sarcoma
3.3.1.4 Chordoma
3.3.1.5 Liposarcoma
3.3.1.6 Metastatic Disease
3.3.2 Benign Lesions
3.3.2.1 Giant Cell Tumor
3.3.2.2 Osteochondroma
3.3.2.3 Aneurysmal Bone Cyst
3.4 Summary
References
4: Tumors of the Pelvis: Pathologic Aspect
4.1 Introduction
4.2 Soft Tissue Sarcomas 4.2.1 Liposarcoma
4.2.2 Leiomyosarcoma
4.3 Primary Bone Sarcomas
4.3.1 Chondrosarcoma
4.3.2 Ewing Sarcoma
4.3.3 Osteosarcoma
4.3.4 Chordoma
4.3.4.1 Benign Lesions
Osteochondroma
Giant Cell Tumor
Aneurysmal Bone Cyst
4.4 Summary
References
5: Staging, Preoperative, and Surgical Planning
5.1 Introduction
5.2 Preoperative Virtual Planning
5.2.1 PVP Summary
5.3 Intraoperative Virtual Navigation
5.3.1 IVN Summary
5.4 Accuracy in PVP and IVN
5.5 Conclusion
References
Part II: Pelvic Tumors: Surgical Procedures 6: Overview on Pelvic Resections: Classification, Operative Considerations and Surgical Approaches
6.1 Classification of Tumours According to Location
6.2 Classification of Internal Hemipelvectomy According to Surgical Margins
6.3 Indications and Contraindications for Limb-Sparing Surgery
6.4 Availability of Resources
6.5 Preoperative Preparation
6.5.1 Staging Investigations
6.5.2 Blood Transfusion Requirements
6.5.3 Preoperative Optimisation
6.5.4 Informed Consent
6.5.5 Urinary Catheterisation
6.5.6 Prophylactic Antibiotic 6.5.7 Anaesthetic Considerations