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Sarcoma
Volume 2010 (2010), Article ID 125162, 8 pages
http://dx.doi.org/10.1155/2010/125162
Research Article

Computer-Assisted Resection and Reconstruction of Pelvic Tumor Sarcoma

1CARS Research Center, (Computer and Robotic-Assisted Surgery), Institute of Experimental and Clinical Research, Catholic University of Louvain, 1348 Louvain, Belgium
2Department of Orthopaedic Surgery, Cliniques Universitaires Saint-Luc, 10, Avenue Hippocrate, 1200 Bruxelles, Belgium
3Center of Research in Mechatronics, Catholic University of Louvain, 1348 Louvain, Belgium

Received 20 April 2010; Accepted 31 October 2010

Academic Editor: Clement Trovik

Copyright © 2010 Pierre-Louis Docquier et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pelvic sarcoma is associated with a relatively poor prognosis, due to the difficulty in obtaining an adequate surgical margin given the complex pelvic anatomy. Magnetic resonance imaging and computerized tomography allow valuable surgical resection planning, but intraoperative localization remains hazardous. Surgical navigation systems could be of great benefit in surgical oncology, especially in difficult tumor location; however, no commercial surgical oncology software is currently available. A customized navigation software was developed and used to perform a synovial sarcoma resection and allograft reconstruction. The software permitted preoperative planning with defined target planes and intraoperative navigation with a free-hand saw blade. The allograft was cut according to the same planes. Histological examination revealed tumor-free resection margins. Allograft fitting to the pelvis of the patient was excellent and allowed stable osteosynthesis. We believe this to be the first case of combined computer-assisted tumor resection and reconstruction with an allograft.