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学科主题: 临床医学
题名:
Robotic Guidance for En Bloc Sacrectomy A Case Report
作者: Bederman, S. Samuel1; Lopez, Gregory1; Ji, Tao2; Hoang, Bang H.3
关键词: sacrectomy ; robotic guided ; robot assisted ; spinopelvic reconstruction
刊名: SPINE
发表日期: 2014-11-01
DOI: 10.1097/BRS.0000000000000575
卷: 39, 期:23, 页:E1398-E1401
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Clinical Neurology ; Orthopedics
研究领域[WOS]: Neurosciences & Neurology ; Orthopedics
关键词[WOS]: SACRAL TUMOR RESECTION ; SCREW PLACEMENT ; PEDICLE SCREW ; RECONSTRUCTION ; ACCURACY ; SPINE ; OSTEOSARCOMA ; EXPERIENCES ; RECURRENCE
英文摘要:

Study Design. Case report of a patient with primary osteosarcoma of the sacrum who underwent en bloc sacrectomy.

Objective. To describe a novel approach using robotic guidance for sacral tumor resection.

Summary of Background Data. En bloc sacrectomy for aggressive primary malignancies or metastatic tumors of the sacrum can be technically challenging. Although imaging can delineate appropriately planned resection margins, the complex anatomy of the spinopelvic junction poses a challenge for the exact intraoperative execution of the preoperative plan.

Methods. The patient was a 22-year-old male who was diagnosed with a primary sacral osteosarcoma. The mass extended to the left sacroiliac joint requiring a transiliac osteotomy. Preoperative robotic-guidance software was used allowing for virtual planning of the transiliac osteotomy.

Results. During surgery, the robot was attached and synchronized with the preoperative imaging. Pilot holes were drilled along the planned iliac resection margin. With rigid tubes placed in the left iliac pilot holes, we passed a series of osteotomes parallel to the tubes to the same depth as our drillings and completed our left iliac osteotomy. Negative tumor margins were achieved and the postoperative course was uneventful.

Conclusion. We report the first case of robotic-guided en bloc transiliac resection of a primary sacral osteosarcoma with extension to the sacroiliac joint. Robotic guidance for tumor resection can be a useful tool in such challenging surgical procedures to fully resect the tumor, while minimizing disruption of the surrounding healthy anatomy.

语种: 英语
WOS记录号: WOS:000344606100009
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/67383
Appears in Collections:北京大学第二临床医学院_骨肿瘤科_期刊论文

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作者单位: 1.Montefiore Albert Einstein Coll Med, Dept Orthopaed Surg, Bronx, NY USA
2.Univ Calif Irvine, Dept Orthopaed Surg, Irvine, CA 92868 USA
3.Peking Univ, Peoples Hosp, Musculoskeletal Tumor Ctr, Beijing 100871, Peoples R China

Recommended Citation:
Bederman, S. Samuel,Lopez, Gregory,Ji, Tao,et al. Robotic Guidance for En Bloc Sacrectomy A Case Report[J]. SPINE,2014,39(23):E1398-E1401.
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