Surgery of the Pelvic and Sacral Tumor

Wei Guo is a Professor at Musculoskeletal Tumor Center, People’s 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.

General Considerations.- Anatomy and Physiology of the Pelvis.- Imaging Modalities and Differential Diagnosis.- Tumors of the Pelvis - Pathologic Aspect.- Staging, Preoperative and Surgical Planning.- Approaches to the Acetabulum: Ilioinguinal.- Ilium: Surgical Approaches.- Anterior Approach to the Pubis.- Ischium: Gluteal Approach, Anterior Approach.- Retroperitoneal Approach.- Overview on Pelvic Resection.- Resection of Periacetabular Lesions.- Pelvic Floor and Pubis Resection.- Combined Approach for Iliosacral Tumor Resection.- Internal Total Hemipelvectomy.- Surgical Treatment for Metastatic Lesions in Pelvis.- Hemipelvectomy.- Reconstruction after Ilium Resection.- Periacetabular Reconstruction.- Reconstruction of Pelvic Tumor with Sacrum Involved.- Perioperative Management.- Complication Prevention and Management.- General Considerations.- Surgical Anatomy of the Sacrum.- Diagnostic Imaging and Differential Diagnosis.- Tumors of the Sacrum.- Preoperative Planning.- Posterior Approach.- Ventral Approaches.- Combined Approaches-Abdominosacral Approach.- General Considerations and Surgical Classifications.- Partial Sacrectomy.- Two-stage Total Sacrectomy.- One-stage Total Sacrectomy.- Resection of Hemisacrum vertically and Sacroiliac Joint.- Total en bloc Sacrectomy by a Single Posterior Approach.- Lumbosacral Resection.- Sacral Reconstruction.- Surgical Strategy for Sacral Giant Tumor.- Surgical Strategy for Sacral Neurogenic Tumors.- Radiation Therapy of Sacral Neoplasms.- Preoperative Embolization and Aortic Balloon.- Neurologic Complications of Sacrectomy.- Wound Care After Sacrectomy and Pelvic Resection.- Rehabilitation After Sacrectomy and Pelvic Resection.