Urological aspects of hemicorporectomy.
The indications for hemicorporectomy are few. However, with improvements in surgical techniques, anaesthesia and post-operative surgical care, hemicorporectomy may again become a reasonable treatment for certain patients with malignancies of the pelvis. A 2-stage procedure is described which consists of an initial staging celiotomy with urinary and faecal diversions. A non-refluxing colon conduit is the preferred form of urinary diversion. The hemicorporectomy is performed approximately 2 weeks later. No complications were encountered in the post-operative period. Our experience and a review of the literature suggest that hemicorporectomy is a reasonable salvage procedure for certain patients with pelvic malignancies.
Sanford
E J
EJ
Department of Surgery, University of South Florida, Tampa.
Helal
M A
MA
Norman
J G
JG
Karl
R C
RC
O'Kelly
K
K
D000328:Adult; D000671:Amputation, Surgical / Q000379:methods*; D001859:Bone Neoplasms / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000209:etiology / Q000601:surgery*; D003125:Colostomy; D005260:Female; D006801:Humans; D008161:Lumbosacral Region / Q000601:surgery; D010384:Pelvic Bones / Q000601:surgery*; D010386:Pelvic Neoplasms / Q000209:etiology / Q000601:surgery*; D003668:Pressure Ulcer / Q000150:complications; D012878:Skin Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*