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.
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  • 1. Mayerson JL, Wooldridge AN, Scharschmidt TJ. Pelvic resection: Current concepts. J Am Acad Orthop Surg 2014;22:214-22.
  • 2. Angelini A, Drago G, Trovarelli G, Calabrò T, Ruggieri P. Infection after surgical resection for pelvic bone tumors: An analysis of 270 patients from one institution. Clin Orthop Relat Res 2014;472:349-59.
  • 3. Muñoz Muñoz P, Bajawi Carretero M, González Barranquero A, Mena Mateos A, Corral Moreno S, Sanjuanbenito Dehesa A, et al. Impact of unplanned resection and re-excision of a soft tissue sarcoma on prognosis. Cir Esp (Engl Ed) 2020;98:281-7.
  • 4. Guder WK, Hardes J, Gosheger G, Henrichs MP, Nottrott M, Streitbürger A. Analysis of surgical and oncological outcome in internal and external hemipelvectomy in 34 patients above the age of 65 years at a mean follow-up of 56 months. BMC Musculoskelet Disord 2015;16:33.
  • 5. Freitas RR, Crivellaro AL, Mello GJ, Neto MA, Filho Gde F, Silva LV. Hemipelvectomy: Erasto Gaertner Hospital's experiences with 32 cases in 10 years. Rev Bras Ortop 2015;45:413-9.
  • 6. Pring ME, Weber KL, Unni KK, Sim FH. Chondrosarcoma of the pelvis. A review of sixty-four cases. J Bone Joint Surg [Am] 2001;83:1630-42.
  • 7. Uzunköy A. Cerrahi alan enfeksiyonları: Risk faktörleri önleme yöntemleri. Ulus Travma Acil Cerrahi Derg 2005;11:269-81.
  • 8. Hugate R Jr, Sim FH. Pelvic reconstruction techniques. Orthop Clin North Am 2006;37:85-97.
  • 9. Aljassir F, Beadel GP, Turcotte RE, Griffin AM, Bell RS, Wunder JS, et al. Outcome after pelvic sarcoma resection reconstructed with saddle prosthesis. Clin Orthop Relat Res 2005;438:36-41.
  • 10. Baliski CR, Schachar NS, McKinnon JG, Stuart GC, Temple WJ. Hemipelvectomy: A changing perspective for a rare procedure. Can J Surg 2004;47:99-103.
  • 11. Enneking WF, Dunham WK. Resection and reconstruction for primary neoplasms involving the innominate bone. J Bone Joint Surg [Am] 1978;60:731-46.
  • 12. Senchenkov A, Moran SL, Petty PM, Knoetgen J 3rd, Clay RP, Bite U, et al. Predictors of complications and outcomes of external hemipelvectomy wounds: Account of 160 consecutive cases. Ann Surg Oncol 2008;15:355-63.
  • 13. Couto AG, Araújo B, Torres de Vasconcelos RA, Renni MJ, Da Fonseca CO, Cavalcanti IL. Survival rate and perioperative data of patients who have undergone hemipelvectomy: A retrospective case series. World J Surg Oncol 2016;14:255.
  • 14. Benatto MT, Hussein AM, Gava NF, Maranho DA, Engel EE. Complications and cost analysis of hemipelvectomy for the treatment of pelvic tumors. Acta Ortop Bras 2019;27:104-7.
  • 15. Öztürk R, Ulucaköy C, Atalay İB, Yapar A, Karakoç Y. Management and retrospective analysis of pelvic ramus tumors and tumor-like lesions: Evaluation with 31 cases. Jt Dis Relat Surg 2020;31:184-92.
  • 16. Ogura K, Boland PJ, Fabbri N, Healey JH. Rate and risk factors for wound complications after internal hemipelvectomy. Bone Joint J 2020;102-B:280-4.
  • 17. Kiiski J, Parry MC, Le Nail LR, Sumathi V, Stevenson JD, Kaartinen IS, et al. Surgical and oncological outcomes after hindquarter amputation for pelvic sarcoma. Bone Joint J 2020;102-B:788-94.
  • 18. Puchner SE, Funovics PT, Böhler C, Kaider A, Stihsen C, Hobusch GM, et al. Oncological and surgical outcome after treatment of pelvic sarcomas. PLoS One 2017;12:e0172203.
  • 19. Ozaki T, Hillmann A, Lindner N, Blasius S, Winkelmann W. Chondrosarcoma of the pelvis. Clin Orthop Relat Res 1997;(337):226-39.
  • 20. Ozaki T, Hoffmann C, Hillmann A, Gosheger G, Lindner N, Winkelmann W. Implantation of hemipelvic prosthesis after resection of sarcoma. Clin Orthop Relat Res 2002;(396):197- 205.
  • 21. Lv S, Wang Q, Zhao W, Han L, Wang Q, Batchu N, et al. A review of the postoperative lymphatic leakage. Oncotarget 2017;8:69062-75.
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