Wide Resection of Sacral Chordoma Including Gluteus Maximus Muscles via Posterior Approach

Abstract

Malign sacral tumors are treated by total sacrectomy and wide resection of soft tissue to reduce local recurrence and for cure. A 78-year-old male presented with low back pain and tenesmus. MRI showed a large tumor in sacrum and the biopsy result showed it was chordoma. S shaped incision was applied between L3 and Co2 and chordoma was taken out and gluteal maximus muscles were totally excised. General surgery opened the colostomy and plastic surgery was applied for the flap reconstruction after wound dehiscence. Total sacrectomy is a complicated and difficult surgery because of complex pelvic anatomy. Only posterior approach provides to come through the sacral tumors without anterior approach laparotomy.




J Med Cases. 2016;7(1):15-17
doi: https://doi.org/10.14740/jmc2254w