External and internal hemipelvectomy: A retrospective analysis of 68 cases
Yıl: 2022 Cilt: 33 Sayı: 1 Sayfa Aralığı: 132 - 141 Metin Dili: İngilizce DOI: 10.52312/jdrs.2022.560 İndeks Tarihi: 21-06-2022
External and internal hemipelvectomy: A retrospective analysis of 68 cases
Öz: Objectives: This study aims to investigate the factors that may
be associated with surgical site infection and mortality in pelvic
resection surgeries.
Patients and methods: A t otal o f 6 8 p atients ( 40 m ales,
28 females; mean age: 43±16.2 years; range, 11 to 70 years) who
underwent internal or external hemipelvectomy between January
2010 and January 2020 were retrospectively analyzed. We
reviewed data concerning histopathological diagnosis, surgical
technique, pelvic resection type, tumor size, postoperative
infection, duration of follow-up, and mortality.
Results: The mean follow-up was 45.5±42.2 months. Among 68
patients, 29 (42.6%) cases underwent external hemipelvectomy
and 39 (57.4%) cases underwent internal hemipelvectomy.
Reconstruction was performed in 14 (20.6%) patients who
underwent internal hemipelvectomy. Of all patients, 61 had
primary malignant pelvic tumors and two had metastatic pelvic
tumors. Of the other five patients, two had a giant cell tumor, two
had a pelvic hydatid cyst, and one had an aneurysmal bone cyst.
The three most common pelvic tumors were chondrosarcoma
(n=25, 36.7%), osteosarcoma (n=13, 19.1%), and Ewing sarcoma
(n=8, 11.8%). Surgical site infections were observed in 34
(50.0%) patients. Of 34 patients, 15 (22.1%) had superficial
infections and 19 (27.9%) had deep surgical infections. The
superficial and deep infection rates were higher in the external
hemipelvectomy group compared to internal hemipelvectomy
(p=0.02). Patients with postoperative infection had a mean
survival period of 36.0 months compared to 79.8 months in
patients without infection (p=0.037). The patients treated with
internal hemipelvectomy had a mean survival of 97.0 months
compared to 25.7 months in patients treated with external
hemipelvectomy (p<0.0001). The effect of Enneking stages of
malignant pelvic tumors on survival was investigated using the
Kaplan-Meier analysis. Cumulative survival decreased, as the
stage progressed (p<0.0001).
Conclusion: The type of surgical technique affects the
possibility of postoperative infection. Postoperative infection,
surgical method, and stage of the tumor are associated with
survival.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA | KARACA M, ÖZBEK E, ÖZYILDIRAN M, MERTER A, Başarır K, YILDIZ H, SAĞLIK Y (2022). External and internal hemipelvectomy: A retrospective analysis of 68 cases. , 132 - 141. 10.52312/jdrs.2022.560 |
Chicago | KARACA Mustafa Onur,ÖZBEK Emre Anıl,ÖZYILDIRAN Mustafa,MERTER Abdullah,Başarır Kerem,YILDIZ Hüseyin Yusuf,SAĞLIK Yener External and internal hemipelvectomy: A retrospective analysis of 68 cases. (2022): 132 - 141. 10.52312/jdrs.2022.560 |
MLA | KARACA Mustafa Onur,ÖZBEK Emre Anıl,ÖZYILDIRAN Mustafa,MERTER Abdullah,Başarır Kerem,YILDIZ Hüseyin Yusuf,SAĞLIK Yener External and internal hemipelvectomy: A retrospective analysis of 68 cases. , 2022, ss.132 - 141. 10.52312/jdrs.2022.560 |
AMA | KARACA M,ÖZBEK E,ÖZYILDIRAN M,MERTER A,Başarır K,YILDIZ H,SAĞLIK Y External and internal hemipelvectomy: A retrospective analysis of 68 cases. . 2022; 132 - 141. 10.52312/jdrs.2022.560 |
Vancouver | KARACA M,ÖZBEK E,ÖZYILDIRAN M,MERTER A,Başarır K,YILDIZ H,SAĞLIK Y External and internal hemipelvectomy: A retrospective analysis of 68 cases. . 2022; 132 - 141. 10.52312/jdrs.2022.560 |
IEEE | KARACA M,ÖZBEK E,ÖZYILDIRAN M,MERTER A,Başarır K,YILDIZ H,SAĞLIK Y "External and internal hemipelvectomy: A retrospective analysis of 68 cases." , ss.132 - 141, 2022. 10.52312/jdrs.2022.560 |
ISNAD | KARACA, Mustafa Onur vd. "External and internal hemipelvectomy: A retrospective analysis of 68 cases". (2022), 132-141. https://doi.org/10.52312/jdrs.2022.560 |
APA | KARACA M, ÖZBEK E, ÖZYILDIRAN M, MERTER A, Başarır K, YILDIZ H, SAĞLIK Y (2022). External and internal hemipelvectomy: A retrospective analysis of 68 cases. Joint diseases and related surgery, 33(1), 132 - 141. 10.52312/jdrs.2022.560 |
Chicago | KARACA Mustafa Onur,ÖZBEK Emre Anıl,ÖZYILDIRAN Mustafa,MERTER Abdullah,Başarır Kerem,YILDIZ Hüseyin Yusuf,SAĞLIK Yener External and internal hemipelvectomy: A retrospective analysis of 68 cases. Joint diseases and related surgery 33, no.1 (2022): 132 - 141. 10.52312/jdrs.2022.560 |
MLA | KARACA Mustafa Onur,ÖZBEK Emre Anıl,ÖZYILDIRAN Mustafa,MERTER Abdullah,Başarır Kerem,YILDIZ Hüseyin Yusuf,SAĞLIK Yener External and internal hemipelvectomy: A retrospective analysis of 68 cases. Joint diseases and related surgery, vol.33, no.1, 2022, ss.132 - 141. 10.52312/jdrs.2022.560 |
AMA | KARACA M,ÖZBEK E,ÖZYILDIRAN M,MERTER A,Başarır K,YILDIZ H,SAĞLIK Y External and internal hemipelvectomy: A retrospective analysis of 68 cases. Joint diseases and related surgery. 2022; 33(1): 132 - 141. 10.52312/jdrs.2022.560 |
Vancouver | KARACA M,ÖZBEK E,ÖZYILDIRAN M,MERTER A,Başarır K,YILDIZ H,SAĞLIK Y External and internal hemipelvectomy: A retrospective analysis of 68 cases. Joint diseases and related surgery. 2022; 33(1): 132 - 141. 10.52312/jdrs.2022.560 |
IEEE | KARACA M,ÖZBEK E,ÖZYILDIRAN M,MERTER A,Başarır K,YILDIZ H,SAĞLIK Y "External and internal hemipelvectomy: A retrospective analysis of 68 cases." Joint diseases and related surgery, 33, ss.132 - 141, 2022. 10.52312/jdrs.2022.560 |
ISNAD | KARACA, Mustafa Onur vd. "External and internal hemipelvectomy: A retrospective analysis of 68 cases". Joint diseases and related surgery 33/1 (2022), 132-141. https://doi.org/10.52312/jdrs.2022.560 |