A Planned Multidisciplinary Surgical Approach to Treat Primary Pelvic Malignancies
The pelvic anatomy poses great challenges to orthopedic surgeons. Sarcomas are often large in size and typically enclosed in the narrow confines of the pelvis with the close proximity of vital structures. The aim of this study is to report a systematic planned multidisciplinary surgical approach to...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-01-01
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| Series: | Current Oncology |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1718-7729/30/1/84 |
| _version_ | 1827626943177031680 |
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| author | Andrea Sambri Michele Fiore Matteo Rottoli Giuseppe Bianchi Marco Pignatti Marta Bortoli Amelio Ercolino Stefano Ancetti Anna Myriam Perrone Pierandrea De Iaco Riccardo Cipriani Eugenio Brunocilla Davide Maria Donati Mauro Gargiulo Gilberto Poggioli Massimiliano De Paolis |
| author_facet | Andrea Sambri Michele Fiore Matteo Rottoli Giuseppe Bianchi Marco Pignatti Marta Bortoli Amelio Ercolino Stefano Ancetti Anna Myriam Perrone Pierandrea De Iaco Riccardo Cipriani Eugenio Brunocilla Davide Maria Donati Mauro Gargiulo Gilberto Poggioli Massimiliano De Paolis |
| author_sort | Andrea Sambri |
| collection | DOAJ |
| description | The pelvic anatomy poses great challenges to orthopedic surgeons. Sarcomas are often large in size and typically enclosed in the narrow confines of the pelvis with the close proximity of vital structures. The aim of this study is to report a systematic planned multidisciplinary surgical approach to treat pelvic sarcomas. Seventeen patients affected by bone and soft tissue sarcomas of the pelvis, treated using a planned multidisciplinary surgical approach, combining the expertise of orthopedic oncology and other surgeons (colleagues from urology, vascular surgery, abdominal surgery, gynecology and plastic surgery), were included. Seven patients were treated with hindquarter amputation; 10 patients underwent excision of the tumor. Reconstruction of bone defects was conducted in six patients with a custom-made 3D-printed pelvic prosthesis. Thirteen patients experienced at least one complication. Well-organized multidisciplinary collaborations between each subspecialty are the cornerstone for the management of patients affected by pelvic sarcomas, which should be conducted in specialized centers. A multidisciplinary surgical approach is of paramount importance in order to obtain the best successful surgical results and adequate margins for achieving acceptable outcomes. |
| first_indexed | 2024-03-09T13:04:40Z |
| format | Article |
| id | doaj.art-54ee1e02de824cf2827bc8c5ea7d3321 |
| institution | Directory Open Access Journal |
| issn | 1198-0052 1718-7729 |
| language | English |
| last_indexed | 2024-03-09T13:04:40Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Current Oncology |
| spelling | doaj.art-54ee1e02de824cf2827bc8c5ea7d33212023-11-30T21:50:03ZengMDPI AGCurrent Oncology1198-00521718-77292023-01-013011106111510.3390/curroncol30010084A Planned Multidisciplinary Surgical Approach to Treat Primary Pelvic MalignanciesAndrea Sambri0Michele Fiore1Matteo Rottoli2Giuseppe Bianchi3Marco Pignatti4Marta Bortoli5Amelio Ercolino6Stefano Ancetti7Anna Myriam Perrone8Pierandrea De Iaco9Riccardo Cipriani10Eugenio Brunocilla11Davide Maria Donati12Mauro Gargiulo13Gilberto Poggioli14Massimiliano De Paolis15Orthopedic and Traumatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyOrthopedic and Traumatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyGeneral Surgery Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyIRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, ItalyPlastic Surgery Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyOrthopedic and Traumatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyDivision of Urology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyVascular Surgery Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyGynecologic Oncoloy Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyGynecologic Oncoloy Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyPlastic Surgery Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyDivision of Urology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyIRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, ItalyVascular Surgery Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyGeneral Surgery Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyOrthopedic and Traumatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyThe pelvic anatomy poses great challenges to orthopedic surgeons. Sarcomas are often large in size and typically enclosed in the narrow confines of the pelvis with the close proximity of vital structures. The aim of this study is to report a systematic planned multidisciplinary surgical approach to treat pelvic sarcomas. Seventeen patients affected by bone and soft tissue sarcomas of the pelvis, treated using a planned multidisciplinary surgical approach, combining the expertise of orthopedic oncology and other surgeons (colleagues from urology, vascular surgery, abdominal surgery, gynecology and plastic surgery), were included. Seven patients were treated with hindquarter amputation; 10 patients underwent excision of the tumor. Reconstruction of bone defects was conducted in six patients with a custom-made 3D-printed pelvic prosthesis. Thirteen patients experienced at least one complication. Well-organized multidisciplinary collaborations between each subspecialty are the cornerstone for the management of patients affected by pelvic sarcomas, which should be conducted in specialized centers. A multidisciplinary surgical approach is of paramount importance in order to obtain the best successful surgical results and adequate margins for achieving acceptable outcomes.https://www.mdpi.com/1718-7729/30/1/84sarcomapelvismultidisciplinaryorthopedicvascularplastic |
| spellingShingle | Andrea Sambri Michele Fiore Matteo Rottoli Giuseppe Bianchi Marco Pignatti Marta Bortoli Amelio Ercolino Stefano Ancetti Anna Myriam Perrone Pierandrea De Iaco Riccardo Cipriani Eugenio Brunocilla Davide Maria Donati Mauro Gargiulo Gilberto Poggioli Massimiliano De Paolis A Planned Multidisciplinary Surgical Approach to Treat Primary Pelvic Malignancies Current Oncology sarcoma pelvis multidisciplinary orthopedic vascular plastic |
| title | A Planned Multidisciplinary Surgical Approach to Treat Primary Pelvic Malignancies |
| title_full | A Planned Multidisciplinary Surgical Approach to Treat Primary Pelvic Malignancies |
| title_fullStr | A Planned Multidisciplinary Surgical Approach to Treat Primary Pelvic Malignancies |
| title_full_unstemmed | A Planned Multidisciplinary Surgical Approach to Treat Primary Pelvic Malignancies |
| title_short | A Planned Multidisciplinary Surgical Approach to Treat Primary Pelvic Malignancies |
| title_sort | planned multidisciplinary surgical approach to treat primary pelvic malignancies |
| topic | sarcoma pelvis multidisciplinary orthopedic vascular plastic |
| url | https://www.mdpi.com/1718-7729/30/1/84 |
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