期刊
JOURNAL OF SURGICAL ONCOLOGY
卷 128, 期 4, 页码 660-666出版社
WILEY
DOI: 10.1002/jso.27300
关键词
bone invasion; endoprosthesis; sarcoma; soft tissue sarcoma
This study reviewed the surgical and oncological outcomes of 29 patients with soft tissue sarcoma who underwent bone resection and endoprosthetic reconstruction (EPR) in the lower extremity. It found a high rate of complications associated with this procedure, including infections and reduced overall survival.
Background and ObjectivesBone resection and endoprosthetic reconstruction (EPR) in the setting of soft tissue sarcoma (STS) management is rare and incurs unique challenges. We aim to report on the surgical and oncological outcomes of this relatively previously undocumented cohort. MethodsThis is a single-center retrospective review of prospectively collected data for patients who required EPRs following resection of STSs of the lower extremity. Following inclusion criteria, we assessed 29 cases of EPR for primary STS of the lower limb. ResultsThe mean age was 54 years (range 18-84). Of the 29 patients, there were 6 total femur, 11 proximal femur, 4 intercalary, and 8 distal femur EPRs. Fourteen of 29 patients (48%) underwent re-operations for surgical complications, with 9 relating to infection (31%). When a matched cohort analysis was performed comparing our cohort to STSs that did not necessitate EPR, a reduced rate of overall survival and metastasis-free survival was found in those requiring EPR. ConclusionThis series identifies a high rate of complication from EPRs performed for STS. Patients should be cautioned about the high rate of infection, surgical complications, and lower overall survival in this setting.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据