Cirugia y cirujanos · 2003
Is there an indication for palliative surgical procedure of shoulder and upper limb malignancies?
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Luna-Ortiz Kuauhyama, Maafs-Molina Eduardo, Herrera-Gómez Angel, Barrera-Franco Jose Luis
Аннотация
AIMS: Major amputation is not a frequent procedure at present, however, there is a group of patients still considered for these treatments. Our objective was to evaluate the results of this surgical intervention as well as to evaluate morbidity, local control, free disease, and palliation.
METHODS: The study included 57 patients on whom interscapulothoracic disarticulation (STDI) was carried out at the Instituto Nacional de Cancerología were (Mexico City) from 1974 to 1993. Patients with oncologic pathology were operated with a palliative aims. Twenty eight male and twenty nine female patients were found with average age of 44 years (range: 13 to 79 years). Clinical situation was characterized by tumor (100%), pain (46%), functional incapacity (39%), ulceration (32%), and bleeding (9%), Karnofsky 80% (range, 50 to 100). Time of evolution was 25 months (range: 1-121 months) and size was > 10 cm in 86% of cases.
RESULTS: Postoperative complications were present in ten, followed by patients follow infection in five cases, hematoma in the upper lung lobe in two and femoral thrombosis, skin wound necrosis, and bleeding in one case each. Palliation was evaluated to eliminate tumoral load, ulceration, bleeding, functional incapacity, and pre- and postoperative pain. Global survival was 12 months (range, 1-139 months).
CONCLUSIONS: Interscapulothoracic disarticulation is an infrequently performed surgery with low morbidity and mortality, low recurrence, no effect on survival, and excellent palliative results.
METHODS: The study included 57 patients on whom interscapulothoracic disarticulation (STDI) was carried out at the Instituto Nacional de Cancerología were (Mexico City) from 1974 to 1993. Patients with oncologic pathology were operated with a palliative aims. Twenty eight male and twenty nine female patients were found with average age of 44 years (range: 13 to 79 years). Clinical situation was characterized by tumor (100%), pain (46%), functional incapacity (39%), ulceration (32%), and bleeding (9%), Karnofsky 80% (range, 50 to 100). Time of evolution was 25 months (range: 1-121 months) and size was > 10 cm in 86% of cases.
RESULTS: Postoperative complications were present in ten, followed by patients follow infection in five cases, hematoma in the upper lung lobe in two and femoral thrombosis, skin wound necrosis, and bleeding in one case each. Palliation was evaluated to eliminate tumoral load, ulceration, bleeding, functional incapacity, and pre- and postoperative pain. Global survival was 12 months (range, 1-139 months).
CONCLUSIONS: Interscapulothoracic disarticulation is an infrequently performed surgery with low morbidity and mortality, low recurrence, no effect on survival, and excellent palliative results.