[The initial approach of two sides hypogastric artery ligation and isolation with laparoscope before excision of presacral tumor].
OBJECTIVE
To observe the significance of excision of presacral tumor after two sides hypogastric artery ligation and tissue dissociation with laparoscope.


METHODS
Twenty-one patients with sacral tumor were performed excision of presacral tumor after two sides hypogastric artery ligation and tissue dissociation with laparoscope.


RESULTS
All sacral tumor were removed successfully, the mean volume of operative blood was 800 ml (range 500-1900 ml), and all the patients were followed up 3-25 months, averaged time 11 months. One patient was recurred after 2 months of operation (the patient was Ewing's sarcoma, and refused to accept radiotherapy and chemotherapy after operation), 1 patents died of brain metastases after 9 months of operations. There were no recurrence in the others patients.


CONCLUSIONS
The excision of presacral tumor after two sides hypogastric artery ligation and tissue dissociation with laparoscope is an effective operation method, with the advantages of decreasing the operative blood and difficulty of sacral tumor excision, and diminishing the operation wound.
Chu
Tong-Wei
TW
Department of Orthopaedics, Xingiao Hospital, the Third Military Medical University, Chongqing 400037, China.
Zhou
Yue
Y
Liang
Ping
P
Zhang
Shao-Jun
SJ
Wang
Jian
J
Zhang
Xia
X
Zhang
Nian-Chun
NC
Li
Chang-Qing
CQ
Hao
Yong
Y
Pan
Yong
Y
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D020706:Laparoscopes; D008026:Ligation / Q000295:instrumentation / Q000379:methods; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012447:Sacrum; D013125:Spinal Neoplasms / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult