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Double approach operation for large extracompartmental proximal thigh tumors
Author(s) -
Papanastassiou Ioannis D.,
Karypidis Dimitrios,
Kokkalis Zi T.,
Gerochristou Maria A.,
Demertzis Nikolaos
Publication year - 2012
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.23296
Subject(s) - medicine , resection , dissection (medical) , thigh , surgery , femoral bone , radiology , femur
Resection of large femoral triangle tumors that invade the bone (or vice versa) still remains a challenge. A lateral‐only approach would hinder dissection of the mass, away from the femoral vessels, while an iliofemoral‐only type of approach would make bone resection and megaprosthetic reconstruction very arduous. The authors describe a two‐stage, one‐position operation via a double surgical approach: the first stage is comprised by an iliofemoral approach and dissection of the femoral vessels, followed by proximal femoral resection and reconstruction stage. One illustrative case is presented along with the authors overall experience. We believe that this operation facilitates wide tumor resection in a safe and step‐wise manner, as not to add to the morbidity of the procedure. J. Surg. Oncol. 2013;107:673–679. © 2012 Wiley Periodicals, Inc.