Clinical Presentation
The primary indication for pelvic resection procedures includes primary malignant tumors of the pelvis, though they may also be considered for rare cases of metastatic lesions, infections, or trauma [PMID:24668351].
Management
A multidisciplinary team is required for pelvic resection procedures, addressing the complexity of tumor histology, lesion location, and extensive reconstruction needs [PMID:24668351].
In a study involving 23 patients who underwent partial pelvic resection followed by various reconstructive procedures using custom-made models, the fit of the partial pelvic replacements was optimal in all cases [PMID:20163931].
The study reported that wide resection margins were achieved in most patients (14 out of 23), suggesting that the use of individualized pelvic models enhances surgical precision [PMID:20163931].
Complications
No major unplanned resections were necessary in patients who received partial pelvic replacements or other reconstructive procedures guided by individualized pelvic models [PMID:20163931].
Prognosis & Follow-up
Preoperative counseling for patients and their families should cover the extensive rehabilitation process and discuss life expectancy due to the significant morbidity and mortality associated with pelvic resection [PMID:24668351].
References
1 Mayerson JL, Wooldridge AN, Scharschmidt TJ. Pelvic resection: current concepts. The Journal of the American Academy of Orthopaedic Surgeons 2014. link 2 Bruns J, Habermann CR, Rüther W, Delling D. The use of CT derived solid modelling of the pelvis in planning cancer resections. European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology 2010. link
2 papers cited of 3 indexed.