title: The Localio approach: a technical note for a large sacral chordoma.
abstract: Whenvever possible, radical resection of retrorectal tumours should be performed.(1) We describe the Localio technique (abdominosacral approach) in a case of a large malignant sacral chordoma. We emphasise the necessity to perform such an approach to achieve a radical resection for these tumours which have little chemosensitivity and minimal radiosensitivity. We highlight clinical features which suggest the presence of a spinal tumour and reiterate the absolute importance of rectal examination.
authors.affiliation: Department of Neurosurgery, Beaumont Hospital, Dublin, Ireland.
authors.forename: Df
authors.initials: D
authors.lastname: O'Brien
authors.forename: R
authors.initials: R
authors.lastname: Kumar
authors.forename: S
authors.initials: S
authors.lastname: Young
authors.forename: F
authors.initials: F
authors.lastname: Brett
authors.forename: J M
authors.initials: JM
authors.lastname: Deasy
mesh_terms: D002817:Chordoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D012447:Sacrum / Q000601:surgery*; D013125:Spinal Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed