Surgical navigation for challenging recurrent or pretreated intra-abdominal and pelvic soft tissue sarcomas
| Autor: | Frits van Coevorden, Jasper Nijkamp, Ruben van Veen, Alexander C.J. van Akkooi, Winan J. van Houdt, Geerard L. Beets, Sophie J.M. Reijers, Yvonne Schrage, Wouter J. Heerink, Nikie J. Hoetjes, Harald C. Groen, Theo J.M. Ruers |
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| Přispěvatelé: | TechMed Centre, Nanobiophysics |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Operative Time Blood Loss Surgical Contrast Media Soft Tissue Neoplasms surgical navigation Imaging Three-Dimensional Blood loss medicine Clinical endpoint electromagnetic tracking Humans Prospective Studies Aged Pelvic Neoplasms Tumor size business.industry Soft tissue sarcoma Navigation system Soft tissue Sarcoma General Medicine Middle Aged medicine.disease pelvic sarcoma Radiation therapy Surgery Computer-Assisted Oncology Abdominal Neoplasms soft tissue sarcoma Female Surgery Radiology intra-abdominal sarcoma Neoplasm Recurrence Local Tomography X-Ray Computed business |
| Zdroj: | Journal of Surgical Oncology, 124(7), 1173-1181. Wiley |
| ISSN: | 0022-4790 |
| Popis: | Background: This study assessed whether electromagnetic navigation can be of added value during resection of recurrent or post-therapy intra-abdominal/pelvic soft tissue sarcomas (STS) in challenging locations. Materials and Methods: Patients were included in a prospective navigation study. A pre-operatively 3D roadmap was made and tracked using electromagnetic reference markers. During the operation, an electromagnetic pointer was used for the localization of the tumor/critical anatomical structures. The primary endpoint was feasibility, secondary outcomes were safety and usability. Results: Nine patients with a total of 12 tumors were included, 7 patients with locally recurrent sarcoma. Three patients received neoadjuvant radiotherapy and three other patients received neoadjuvant systemic treatment. The median tumor size was 4.6 cm (2.4–10.4). The majority of distances from tumor to critical anatomical structures was |
| Databáze: | OpenAIRE |
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