|Table of Contents|

The efficacy of superselective tumor arterial embolization combined with simple posterior approach resection for the treatment of sacral chordoma

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2023 08
Page:
1512-1517
Research Field:
Publishing date:

Info

Title:
The efficacy of superselective tumor arterial embolization combined with simple posterior approach resection for the treatment of sacral chordoma
Author(s):
HUANG Changzhi; HUANG Zhaoxi; HUANG Yufeng; ZENG Wei; WEI Linwen; LIN Jiuzao
Department of Orthopaedics,Ningde Hospital Affiliated to Ningde Normal University,Fujian Ningde 352000,China.
Keywords:
tumor arterial embolization; sacrum; chordoma; resection
PACS:
R730.5
DOI:
10.3969/j.issn.1672-4992.2023.08.023
Abstract:
Objective:To investigate the curative effect of surgical resection after tumor arterial embolization for primary sacral chordoma.Methods:30 cases of primary sacrum chordoma treated in our hospital were retrospectively analyzed from January 2012 to January 2018.Superselective tumor arterial embolization under digital subtraction angiography (DSA) was performed preoperatively in 19 cases,then using a posterior approach to remove the tumor completely (group A),while 11 cases only used a posterior approach to remove the tumor completely (group B).Compared the operation time,the intraoperative blood loss,the postoperative drainage blood,the postoperative extubation time,the complication and the postoperative tumor recurrence rate between the two groups.Results:All the patients successfully completed the operation.None of case rectal injury shock or died during operation.The average operation time of group A was (202.42±29.75)min (range:155~248 min),the average intraoperative blood loss of group A was (1 349.84±282.84)mL (range:685~1 885 mL),the average postoperative drainage blood of group A was (227.26±35.82)mL (range:150~300 mL) and the average postoperative extubation time of group A was (7.42±0.61)d (range:7~9 d).The average operation time of group B was (271.45±21.78)min (range:220~300 min),the average intraoperative blood loss of group B was (1 846.45±396.38)mL (range:890~2 400 mL),the average postoperative drainage blood of group B was (284.09±38.26)mL (range:220~330 mL) and the average postoperative extubation time of group B was (9.45±0.69)d (range:8~10 d).The operation time,]intraoperative blood loss and postoperative drainage volume in group A were less than those in group B,and the differences were statistically significant (P＜0.001).The complication rate between group A and group B was 26.3% vs 27.3%,and the postoperative tumor recurrence rate between the two groups was 31.6% vs 27.3%.There was no statistically significant difference in the complication rate and postoperative tumor recurrence rate between the two groups (P＞0.05).Conclusion:DSA guided superselective tumor arterial embolization combined with simple posterior sacral approach can completely remove primary sacral chordoma in one stage,and achieve satisfactory clinical results.

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