Management of great vessels and nerves in limb-salvage surgery for bone and soft tissue tumors
- PMID: 24254445
- PMCID: PMC6583549
- DOI: 10.1111/os.12066
Management of great vessels and nerves in limb-salvage surgery for bone and soft tissue tumors
Abstract
In recent years, limb-salvage surgery has gradually replaced amputations and become one of the main treatment strategies for patients with bone and soft tissue tumors of the extremities. The goals of tumor resection in limb-salvage surgery are to reduce the recurrence rate and preserve as much limb function as possible. However, depending on the size and specific location of the tumor, large neurovascular bundles may be involved. In addition, management of large nerves and vessels can make wide marginal resection more difficult. Sites where these problems commonly arise include the sciatic and tibial common peroneal nerve, artery and vein in the lower limbs.
Keywords: Amputation; Bone and soft tissue tumors; Limb-salvage surgery.
© 2013 Chinese Orthopaedic Association and Wiley Publishing Asia Pty Ltd.
Similar articles
-
Analysis of immediate vascular reconstruction for lower-limb salvage in patients with lower-limb bone and soft-tissue sarcoma.J Plast Reconstr Aesthet Surg. 2013 May;66(5):608-16. doi: 10.1016/j.bjps.2013.01.001. Epub 2013 Feb 5. J Plast Reconstr Aesthet Surg. 2013. PMID: 23391538
-
Sciatic nerve resection: is that truly an indication for amputation?Clin Orthop Relat Res. 2002 Jun;(399):201-4. Clin Orthop Relat Res. 2002. PMID: 12011710
-
Recent advances in reconstructive surgery for bone and soft tissue sarcomas.Int J Clin Oncol. 2013 Aug;18(4):566-73. doi: 10.1007/s10147-013-0557-2. Epub 2013 May 8. Int J Clin Oncol. 2013. PMID: 23652786
-
Criteria and outcome of limb salvage surgery.J BUON. 2011 Oct-Dec;16(4):617-26. J BUON. 2011. PMID: 22331712 Review.
-
Principles of limb salvage surgery of the upper extremity.Hand Clin. 2004 May;20(2):v, 167-79. doi: 10.1016/j.hcl.2004.03.001. Hand Clin. 2004. PMID: 15201022 Review.
Cited by
-
Limb-Salvage Surgery of Soft Tissue Sarcoma with Sciatic Nerve Involvement.Sarcoma. 2018 Mar 6;2018:6483579. doi: 10.1155/2018/6483579. eCollection 2018. Sarcoma. 2018. PMID: 29692655 Free PMC article.
-
Major Nerve Resections in Extremity Soft Tissue Sarcomas-Functional and Oncological Outcomes.Indian J Surg Oncol. 2024 Mar;15(Suppl 1):132-136. doi: 10.1007/s13193-023-01810-z. Epub 2023 Aug 29. Indian J Surg Oncol. 2024. PMID: 38545586 Free PMC article.
-
Simultaneous reconstruction of the bone and vessels for complex femoral defect.World J Surg Oncol. 2016 Nov 18;14(1):291. doi: 10.1186/s12957-016-1037-8. World J Surg Oncol. 2016. PMID: 27863500 Free PMC article.
References
-
- Ghosh J, Bhowmick A, Baguneid M. Oncovascular surgery. Eur J Surg Oncol, 2011, 37: 1017–1024. - PubMed
-
- Ghert MA, Davis AM, Griffin AM, et al The surgical and functional outcome of limb‐salvage surgery with vascular reconstruction for soft tissue sarcoma of the extremity. Ann Surg Oncol, 2005, 12: 1102–1110. - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical