Systematic planning of surgery for soft tissue sarcoma of the extremities

被引:0
作者
Jakob, J. [1 ]
Schmolders, J. [2 ]
机构
[1] Univ Med Gottingen, Klin Allgemein Viszeral & Kinderchirurg, Robert Koch Str 40, D-37075 Gottingen, Germany
[2] Uniklin Bonn, Klin & Poliklin Orthopadie & Unfallchirurg, Bonn, Germany
来源
CHIRURG | 2019年 / 90卷 / 06期
关键词
Resectablity; Amputation indications; Trunk; Resection; Surgery; LOCAL RECURRENCE; POSTOPERATIVE RADIOTHERAPY; CHEMOTHERAPY; RISK; CLASSIFICATION; AMPUTATION; RESECTION; SURVIVAL; MARGINS; TUMOR;
D O I
10.1007/s00104-019-0921-5
中图分类号
R61 [外科手术学];
学科分类号
摘要
Soft tissue sarcomas of the extremities are rarely malignant tumors. They are best treated by an experienced interdisciplinary sarcoma team. A preoperative biopsy and imaging are prerequisites for successful sarcoma treatment. Before surgery the multimodal treatment and the extent of resection and, if necessary, plastic reconstruction should be discussed in amultidisciplinary tumor board. The aim is always acomplete R0 resection with optimal preservation of function. The preservation of critical structures (e.g. sciatic nerve) by aplanned focal marginal resection along the critical structure can be performed by an experienced team in amultidisciplinary treatment setting.
引用
收藏
页码:441 / 446
页数:6
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