En-bloc resection of scapular chondrosarcoma with intraoperative computer navigation
Background: Surgical removal of scapular tumours presents a complex problem due to the vicinity of major nerves and blood vessels and its functional importance. Planning such a procedure presents a significant challenge, further complicated by varia-bles such as histological findings, tumour locatio...
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Slovenian Medical Association
2025-02-01
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| Series: | Zdravniški Vestnik |
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| Online Access: | https://vestnik.szd.si/index.php/ZdravVest/article/view/3560 |
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| author | Igor Potparić David Martinčič |
| author_facet | Igor Potparić David Martinčič |
| author_sort | Igor Potparić |
| collection | DOAJ |
| description | Background: Surgical removal of scapular tumours presents a complex problem due to the vicinity of major nerves and blood vessels and its functional importance. Planning such a procedure presents a significant challenge, further complicated by varia-bles such as histological findings, tumour location, and size. In recent years, the development of 3-D imaging, modelling, and printing has proven to be helpful in planning and improving the safety and accuracy regarding major anatomical structures and minimalisation of healthy tissue resection. With modern modalities, we can more readily adhere to the recommendation of limb-salvage surgery. So far, computer-navigated surgery has been used for chondrosarcoma resections of long bones, pelvis, sacrum, and spine, but very few reports provide insight into scapular chondrosarcoma resections using computer navigation.
Case presentation: We present a case of a 36-year-old male with a secondary chondrosarcoma grade 1, where “en bloc” resection was successfully performed by using MR- and CT-based intraoperative computer navigation.
Discussion: Surgery remains the sole treatment for chondrosarcomas, aiming for complete tumour resection with negative margins while preserving limb function. Successful use of surgical navigation has been documented in various bones, yielding precise bony resection but not soft tissue margins.
Conclusion: We applied principles of chondrosarcoma treatment to scapular chondrosarcoma, achieving functional shoulder preservation. Combining navigation with PSI could enhance surgical outcomes, though challenges include technology availability and variability in patient cases. |
| format | Article |
| id | doaj-art-8f81cd36fea240469e3b9300cdd5a2dc |
| institution | OA Journals |
| issn | 1318-0347 1581-0224 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Slovenian Medical Association |
| record_format | Article |
| series | Zdravniški Vestnik |
| spelling | doaj-art-8f81cd36fea240469e3b9300cdd5a2dc2025-08-20T02:11:13ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242025-02-01941-2323810.6016/ZdravVestn.35603116En-bloc resection of scapular chondrosarcoma with intraoperative computer navigationIgor Potparić0https://orcid.org/0009-0003-8497-5250David Martinčič1https://orcid.org/0000-0002-7712-543XDepartment of Orthopaedic Surgery, University Medical Centre Ljubljana, Ljubljana, SloveniaDepartment of Orthopaedic Surgery, University Medical Centre Ljubljana, Ljubljana, SloveniaBackground: Surgical removal of scapular tumours presents a complex problem due to the vicinity of major nerves and blood vessels and its functional importance. Planning such a procedure presents a significant challenge, further complicated by varia-bles such as histological findings, tumour location, and size. In recent years, the development of 3-D imaging, modelling, and printing has proven to be helpful in planning and improving the safety and accuracy regarding major anatomical structures and minimalisation of healthy tissue resection. With modern modalities, we can more readily adhere to the recommendation of limb-salvage surgery. So far, computer-navigated surgery has been used for chondrosarcoma resections of long bones, pelvis, sacrum, and spine, but very few reports provide insight into scapular chondrosarcoma resections using computer navigation. Case presentation: We present a case of a 36-year-old male with a secondary chondrosarcoma grade 1, where “en bloc” resection was successfully performed by using MR- and CT-based intraoperative computer navigation. Discussion: Surgery remains the sole treatment for chondrosarcomas, aiming for complete tumour resection with negative margins while preserving limb function. Successful use of surgical navigation has been documented in various bones, yielding precise bony resection but not soft tissue margins. Conclusion: We applied principles of chondrosarcoma treatment to scapular chondrosarcoma, achieving functional shoulder preservation. Combining navigation with PSI could enhance surgical outcomes, though challenges include technology availability and variability in patient cases.https://vestnik.szd.si/index.php/ZdravVest/article/view/3560chondrosarcomashoulder joint chondrosarcomatotal en bloc resectioncomputer navigation surgerylimb-preserving surgery |
| spellingShingle | Igor Potparić David Martinčič En-bloc resection of scapular chondrosarcoma with intraoperative computer navigation Zdravniški Vestnik chondrosarcoma shoulder joint chondrosarcoma total en bloc resection computer navigation surgery limb-preserving surgery |
| title | En-bloc resection of scapular chondrosarcoma with intraoperative computer navigation |
| title_full | En-bloc resection of scapular chondrosarcoma with intraoperative computer navigation |
| title_fullStr | En-bloc resection of scapular chondrosarcoma with intraoperative computer navigation |
| title_full_unstemmed | En-bloc resection of scapular chondrosarcoma with intraoperative computer navigation |
| title_short | En-bloc resection of scapular chondrosarcoma with intraoperative computer navigation |
| title_sort | en bloc resection of scapular chondrosarcoma with intraoperative computer navigation |
| topic | chondrosarcoma shoulder joint chondrosarcoma total en bloc resection computer navigation surgery limb-preserving surgery |
| url | https://vestnik.szd.si/index.php/ZdravVest/article/view/3560 |
| work_keys_str_mv | AT igorpotparic enblocresectionofscapularchondrosarcomawithintraoperativecomputernavigation AT davidmartincic enblocresectionofscapularchondrosarcomawithintraoperativecomputernavigation |