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Abdel-Hameed Al-Mistarehi,Taha Khalilullah,Abdul Karim Ghaith et al. Abdel-Hameed Al-Mistarehi et al.
Laminectomy was performed in 85% of cases and sacrectomy in 55.6%, leading to postoperative improvements in ambulatory function and neurological status. The main indications included local recurrence of the tumor and neurological deficits attributed to the impinging tumor.
Hiroyuki Kanao,Sanshiro Okamoto,Shogo Nishino et al. Hiroyuki Kanao et al.
Since its technical feasibility and oncological safety have been demonstrated, sacrectomy for recurrent rectal cancer is now considered the treatment of choice [2]....Theoretically, if complete resection is deemed possible, LEER and sacrectomy (beyond-LEER) may be the treatments of choice for recurrent gynecological malignancies. However, the technical feasibility of beyond-LEER has not been reported.
Charles T West,Abhinav Tiwari,Julian Smith et al. Charles T West et al.
The risk of EPS increased with external beam radiotherapy (OR 1.01 per 1 Gy, P = 0.01), sacrectomy (OR 3.78, P < 0.001), total cystectomy (OR 2.46, P = 0.001), internal iliac vessel ligation (unilateral OR 1.94, P = 0.045; bilateral OR 3.65, P < 0.001), and infralevator exenteration (OR 3.69, P < 0.001
Jan Štulík,Michaela Rybárová,Pavel Hladík et al. Jan Štulík et al.
Introduction: En bloc sacrectomy is an extensive surgical procedure which is often the only option which provides cure....Our experience shows that, in selected cases, instrumentation is not necessary even in case of a high en bloc sacrectomy retaining the cranial part of the sacrum in situ.
Chiara Cini,Emanuela Asunis,Cristiana Griffoni et al. Chiara Cini et al.
High partial sacrectomy (above S3) was performed in 20%, while low sacrectomy (at or below S3) was performed in 80%. Complete resection with clean margins (R0) was achieved in 65% of cases, while 35% had R1 resections with microscopic tumor remnants. Root resection was necessary in 25% of patients.
Enes Kanay,Halil Ibrahim Bulut,Erhan Okay et al. Enes Kanay et al.
This retrospective study aims to evaluate the outcomes of sacrectomy surgeries, focusing on surgical approaches, reconstruction methods, and infection profiles, to better understand the challenges and outcomes associated with these procedures....Most patients underwent partial sacrectomy (83.3%). Flap reconstruction was performed in 27.8% of cases. Wound complications occurred in 50%, and neurological complications in 55.6%....Conclusion: In conclusion, surgical site infections remain a significant challenge in sacrectomy patients. Vascularized flaps may offer protection against resistant Gram-negative strain infections, while surgical debridement is essential for managing anaerobic infections....Future research should focus on optimizing infection prevention, improving wound healing strategies, and enhancing nutritional support to improve outcomes for sacrectomy patients.
Debora Pellegrini,Sergio Quildrian,Walter Nardi et al. Debora Pellegrini et al.
An en bloc resection consisting of distal sacrectomy at the level of S3 and surrounding muscles was performed. The pathological report confirmed the presence of a mature teratoma with malignant transformation to colorectal adenocarcinoma, with negative margins.
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