| Minimally invasive surgery of humeral metastasis using flexible nails and cement in high-risk patients with advanced cancer. | |
| | |
MedLine Citation:
|
PMID: 20870403 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
This study was conducted to evaluate the preliminary outcome of palliative minimally invasive surgery for humeral metastasis in patients who have multiple advanced cancers with short life expectancy. Percutaneous Ender nailing and direct transcortical intramedullary cementing were performed on a total of 15 patients with metastatic disease of the humerus. The origins of the cancers were the lung (n=9), breast (n=3), colon (n=2) and liver (n=1). Each patient had multiple unresectable organic metastases and proved to be at high risk for anesthesia and bloody surgery. All procedures were performed under regional anesthesia and fluoroscopic guidance. The mean amount of intramedullary cement injection after Ender nailing was 13.4ml. The mean of the numeric rating scale (NRS) score for pain decreased from 9.6 points before surgery to 3.6 points after surgery (P<0.001). The mean of the Musculoskeletal Tumor Society (MSTS) functional score increased from 10.6 points before surgery to 19.9 points after surgery (P<0.001). Seven patients died within 7 months. There were no complications associated with cement leakage, fixation failure and surgical wound even in cases of early postoperative radiation or chemotherapy. Percutaneous flexible nailing along with intramedullary cementing could be a useful minimally invasive surgical method for the palliation of humeral metastasis in selective terminal cancer patients by providing immediate reliable fixation and effective pain relief. |
| | |
Authors:
|
June Hyuk Kim; Hyun Guy Kang; Jung Ryul Kim; Patrick P Lin; Han Soo Kim |
Related Documents
:
|
20660983 - Monopolar diathermy used for correction of ankyloglossia. 15707343 - Preoperative assessment: an anesthesiologist's perspective. 1422103 - Endoscopic transthoracic sympathectomy for idiopathic upper limb hyperhidrosis. |
Publication Detail:
|
Type: Journal Article Date: 2010-09-26 |
Journal Detail:
|
Title: Surgical oncology Volume: 20 ISSN: 1879-3320 ISO Abbreviation: Surg Oncol Publication Date: 2011 Mar |
Date Detail:
|
Created Date: 2011-01-03 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9208188 Medline TA: Surg Oncol Country: Netherlands |
Other Details:
|
Languages: eng Pagination: e32-7 Citation Subset: IM |
Copyright Information:
|
Copyright © 2010 Elsevier Ltd. All rights reserved. |
Affiliation:
|
Orthopaedic Oncology Clinic, National Cancer Center, Gyeonggi-do 410-769, Republic of Korea. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Origin DNA melting and unwinding in DNA replication.
Next Document: Effect of feeding regimens on polyhydroxybutyrate production from food wastes by Cupriavidus necator...