Inferior gluteal artery detection at the greater sciatic notch with a computer-assisted navigation system during pelvic and sacral tumor resection
Background: During pelvic and sacral tumor resection, important vessels, such as the inferior gluteal artery underneath the sciatic notch, are easily injured because of their invisibility. We employed a computer-assisted navigation system to preserve the inferior gluteal artery at the sciatic notch...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2016-01-01
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| Series: | Computer Assisted Surgery |
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| Online Access: | https://www.tandfonline.com/doi/10.3109/24699322.2016.1174305 |
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| author | Toru Akiyama Shotaro Kanda Akinori Maeda Kazuo Saita |
| author_facet | Toru Akiyama Shotaro Kanda Akinori Maeda Kazuo Saita |
| author_sort | Toru Akiyama |
| collection | DOAJ |
| description | Background: During pelvic and sacral tumor resection, important vessels, such as the inferior gluteal artery underneath the sciatic notch, are easily injured because of their invisibility. We employed a computer-assisted navigation system to preserve the inferior gluteal artery at the sciatic notch with visualization of the inferior gluteal artery at the sciatic notch, thus maintaining blood flow to the gluteus maximus.Methods: We present the results of seven patients (five men and two women) with a mean age of 64.8 years (58.4–78.8) in whom computer-assisted navigation surgery had been carried out for pelvic and sacral tumor resections.Results: Postoperative enhanced computed tomography (CT) confirmed the preservation of the inferior gluteal artery in all cases. At a mean follow-up of 21.3 months (3–39), the total postoperative complication rate was 25% (n = 2), including hematoma (n = 1) and wound necrosis (n = 1). There were no cases of deep infection.Conclusion: This new application of computer-assisted navigation to pelvic and sacral tumor resection can contribute to reducing postoperative complications related to insufficient flap perfusion. |
| format | Article |
| id | doaj-art-3ce93e5348594b45b3eb662919ff12eb |
| institution | OA Journals |
| issn | 2469-9322 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Computer Assisted Surgery |
| spelling | doaj-art-3ce93e5348594b45b3eb662919ff12eb2025-08-20T02:24:54ZengTaylor & Francis GroupComputer Assisted Surgery2469-93222016-01-01211182410.3109/24699322.2016.1174305Inferior gluteal artery detection at the greater sciatic notch with a computer-assisted navigation system during pelvic and sacral tumor resectionToru Akiyama0Shotaro Kanda1Akinori Maeda2Kazuo Saita3Department of Orthopaedic Surgery, Saitama Medical Center, Jichi Medical University, Saitama, JapanDepartment of Orthopaedic Surgery, Saitama Medical Center, Jichi Medical University, Saitama, JapanDepartment of Orthopaedic Surgery, Saitama Medical Center, Jichi Medical University, Saitama, JapanDepartment of Orthopaedic Surgery, Saitama Medical Center, Jichi Medical University, Saitama, JapanBackground: During pelvic and sacral tumor resection, important vessels, such as the inferior gluteal artery underneath the sciatic notch, are easily injured because of their invisibility. We employed a computer-assisted navigation system to preserve the inferior gluteal artery at the sciatic notch with visualization of the inferior gluteal artery at the sciatic notch, thus maintaining blood flow to the gluteus maximus.Methods: We present the results of seven patients (five men and two women) with a mean age of 64.8 years (58.4–78.8) in whom computer-assisted navigation surgery had been carried out for pelvic and sacral tumor resections.Results: Postoperative enhanced computed tomography (CT) confirmed the preservation of the inferior gluteal artery in all cases. At a mean follow-up of 21.3 months (3–39), the total postoperative complication rate was 25% (n = 2), including hematoma (n = 1) and wound necrosis (n = 1). There were no cases of deep infection.Conclusion: This new application of computer-assisted navigation to pelvic and sacral tumor resection can contribute to reducing postoperative complications related to insufficient flap perfusion.https://www.tandfonline.com/doi/10.3109/24699322.2016.1174305Computer-assisted navigationinferior gluteal artery detectionorthopedic surgerypelvic tumor resectionpostoperative complication |
| spellingShingle | Toru Akiyama Shotaro Kanda Akinori Maeda Kazuo Saita Inferior gluteal artery detection at the greater sciatic notch with a computer-assisted navigation system during pelvic and sacral tumor resection Computer Assisted Surgery Computer-assisted navigation inferior gluteal artery detection orthopedic surgery pelvic tumor resection postoperative complication |
| title | Inferior gluteal artery detection at the greater sciatic notch with a computer-assisted navigation system during pelvic and sacral tumor resection |
| title_full | Inferior gluteal artery detection at the greater sciatic notch with a computer-assisted navigation system during pelvic and sacral tumor resection |
| title_fullStr | Inferior gluteal artery detection at the greater sciatic notch with a computer-assisted navigation system during pelvic and sacral tumor resection |
| title_full_unstemmed | Inferior gluteal artery detection at the greater sciatic notch with a computer-assisted navigation system during pelvic and sacral tumor resection |
| title_short | Inferior gluteal artery detection at the greater sciatic notch with a computer-assisted navigation system during pelvic and sacral tumor resection |
| title_sort | inferior gluteal artery detection at the greater sciatic notch with a computer assisted navigation system during pelvic and sacral tumor resection |
| topic | Computer-assisted navigation inferior gluteal artery detection orthopedic surgery pelvic tumor resection postoperative complication |
| url | https://www.tandfonline.com/doi/10.3109/24699322.2016.1174305 |
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