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Sacral ResectionOperative Technique and Outcome
Touraj Touran, MD;
Daniel B. Frost, MD;
Theodore X. O'Connell, MD
Arch Surg. 1990;125(7):911-913.
Abstract
• Tumors involving the sacrum are difficult to treat. These include both primary tumors of the sacrum and locally invasive colorectal carcinomas. Sacral resection is often the only effective alternative for meaningful palliation or cure of sacral tumors. A review of 20 cases of sacral resections for primary sacral tumors (8) and locally invasive anorectal cancers (12) is presented. The mortality (0%) and morbidity (35% urinary complications, 25% wound disruptions, 1600-mL median blood loss) compare favorably with reports in the literature. Long-term survival was achieved with primary tumors of the sacrum. Local control of disease was achieved in the majority of patients with rectal cancer, with good palliation of preoperative pain. Long-term survival, however, is rare in this group. Surgical resection of sacral tumors can be undertaken with acceptable morbidity and mortality in selected patients.
(Arch Surg. 1990;125:911-913)
Author Affiliations
From Kaiser Permanente Medical Center, Los Angeles, Calif.
Footnotes
Accepted for publication September 18, 1989.
Read before the Southern California Chapter of the American College of Surgeons, Palm Springs, Calif, January 27, 1989.
Reprint requests to Department of Surgery, 1526 N Edgemont St, Los Angeles, CA 90027 (Dr O'Connell).
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