title: Double approach operation for large extracompartmental proximal thigh tumors.
abstract: Resection of large femoral triangle tumors that invade the bone (or vice versa) still remains a challenge. A lateral-only approach would hinder dissection of the mass, away from the femoral vessels, while an iliofemoral-only type of approach would make bone resection and megaprosthetic reconstruction very arduous. The authors describe a two-stage, one-position operation via a double surgical approach: the first stage is comprised by an iliofemoral approach and dissection of the femoral vessels, followed by proximal femoral resection and reconstruction stage. One illustrative case is presented along with the authors overall experience. We believe that this operation facilitates wide tumor resection in a safe and step-wise manner, as not to add to the morbidity of the procedure.
authors.affiliation: Department of Orthopedics, General Oncological Hospital Kifisias Agioi Anargyroi, Athens, Greece. ioannis.papanastassiou@gmail.com
authors.forename: Ioannis D
authors.initials: ID
authors.lastname: Papanastassiou
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Karypidis
authors.forename: Zinon T
authors.initials: ZT
authors.lastname: Kokkalis
authors.forename: Maria A
authors.initials: MA
authors.lastname: Gerochristou
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Demertzis
mesh_terms: D000328:Adult; D000368:Aged; D004210:Dissection / Q000379:methods; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D005266:Femoral Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods*; D012509:Sarcoma / Q000601:surgery*; D012983:Soft Tissue Neoplasms / Q000601:surgery*; D016896:Treatment Outcome