Surgical navigation for challenging recurrent or pretreated intra‐abdominal and pelvic soft tissue sarcomas
Background This study assessed whether electromagnetic navigation can be of added value during resection of recurrent or post‐therapy intra‐abdominal/pelvic soft tissue sarcomas (STS) in challenging locations. Materials and Methods Patients were included in a prospective navigation study. A pre‐oper...
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| Veröffentlicht in: | Journal of surgical oncology 2021-12, Vol.124 (7), p.1173-1181 |
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| container_title | Journal of surgical oncology |
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| creator | Reijers, Sophie J. M. Heerink, Wouter J. Van Veen, Ruben Nijkamp, Jasper Hoetjes, Nikie J. Schrage, Yvonne Van Akkooi, Alexander Beets, Geerard L. Van Coevorden, Frits Ruers, Theo J. M. Groen, Harald C. Van Houdt, Winan J. |
| description | Background
This study assessed whether electromagnetic navigation can be of added value during resection of recurrent or post‐therapy intra‐abdominal/pelvic soft tissue sarcomas (STS) in challenging locations.
Materials and Methods
Patients were included in a prospective navigation study. A pre‐operatively 3D roadmap was made and tracked using electromagnetic reference markers. During the operation, an electromagnetic pointer was used for the localization of the tumor/critical anatomical structures. The primary endpoint was feasibility, secondary outcomes were safety and usability.
Results
Nine patients with a total of 12 tumors were included, 7 patients with locally recurrent sarcoma. Three patients received neoadjuvant radiotherapy and three other patients received neoadjuvant systemic treatment. The median tumor size was 4.6 cm (2.4–10.4). The majority of distances from tumor to critical anatomical structures was |
| doi_str_mv | 10.1002/jso.26624 |
| format | Article |
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This study assessed whether electromagnetic navigation can be of added value during resection of recurrent or post‐therapy intra‐abdominal/pelvic soft tissue sarcomas (STS) in challenging locations.
Materials and Methods
Patients were included in a prospective navigation study. A pre‐operatively 3D roadmap was made and tracked using electromagnetic reference markers. During the operation, an electromagnetic pointer was used for the localization of the tumor/critical anatomical structures. The primary endpoint was feasibility, secondary outcomes were safety and usability.
Results
Nine patients with a total of 12 tumors were included, 7 patients with locally recurrent sarcoma. Three patients received neoadjuvant radiotherapy and three other patients received neoadjuvant systemic treatment. The median tumor size was 4.6 cm (2.4–10.4). The majority of distances from tumor to critical anatomical structures was <0.5 cm. The tumors were localized using the navigation system without technical or safety issues. Despite the challenging nature of these resections, 89% were R0 resections, with a median blood loss of 100 ml (20–1050) and one incident of vascular damage. Based on the survey, surgeons stated navigation resulted in shorter surgery time and made the resections easier.
Conclusion
Electromagnetic navigation facilitates resections of challenging lower intra‐abdominal/pelvic STS and might be of added value.</description><identifier>ISSN: 0022-4790</identifier><identifier>EISSN: 1096-9098</identifier><identifier>DOI: 10.1002/jso.26624</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc</publisher><subject>Abdomen ; electromagnetic tracking ; Gastric cancer ; intra‐abdominal sarcoma ; pelvic sarcoma ; Sarcoma ; soft tissue sarcoma ; surgical navigation ; Tumors</subject><ispartof>Journal of surgical oncology, 2021-12, Vol.124 (7), p.1173-1181</ispartof><rights>2021 Wiley Periodicals LLC</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3654-ea7695a05070296754c588798da6430f53efea1092a3e84cbc54b5ac82182d553</citedby><cites>FETCH-LOGICAL-c3654-ea7695a05070296754c588798da6430f53efea1092a3e84cbc54b5ac82182d553</cites><orcidid>0000-0003-4872-7746</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjso.26624$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjso.26624$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids></links><search><creatorcontrib>Reijers, Sophie J. M.</creatorcontrib><creatorcontrib>Heerink, Wouter J.</creatorcontrib><creatorcontrib>Van Veen, Ruben</creatorcontrib><creatorcontrib>Nijkamp, Jasper</creatorcontrib><creatorcontrib>Hoetjes, Nikie J.</creatorcontrib><creatorcontrib>Schrage, Yvonne</creatorcontrib><creatorcontrib>Van Akkooi, Alexander</creatorcontrib><creatorcontrib>Beets, Geerard L.</creatorcontrib><creatorcontrib>Van Coevorden, Frits</creatorcontrib><creatorcontrib>Ruers, Theo J. M.</creatorcontrib><creatorcontrib>Groen, Harald C.</creatorcontrib><creatorcontrib>Van Houdt, Winan J.</creatorcontrib><title>Surgical navigation for challenging recurrent or pretreated intra‐abdominal and pelvic soft tissue sarcomas</title><title>Journal of surgical oncology</title><description>Background
This study assessed whether electromagnetic navigation can be of added value during resection of recurrent or post‐therapy intra‐abdominal/pelvic soft tissue sarcomas (STS) in challenging locations.
Materials and Methods
Patients were included in a prospective navigation study. A pre‐operatively 3D roadmap was made and tracked using electromagnetic reference markers. During the operation, an electromagnetic pointer was used for the localization of the tumor/critical anatomical structures. The primary endpoint was feasibility, secondary outcomes were safety and usability.
Results
Nine patients with a total of 12 tumors were included, 7 patients with locally recurrent sarcoma. Three patients received neoadjuvant radiotherapy and three other patients received neoadjuvant systemic treatment. The median tumor size was 4.6 cm (2.4–10.4). The majority of distances from tumor to critical anatomical structures was <0.5 cm. The tumors were localized using the navigation system without technical or safety issues. Despite the challenging nature of these resections, 89% were R0 resections, with a median blood loss of 100 ml (20–1050) and one incident of vascular damage. Based on the survey, surgeons stated navigation resulted in shorter surgery time and made the resections easier.
Conclusion
Electromagnetic navigation facilitates resections of challenging lower intra‐abdominal/pelvic STS and might be of added value.</description><subject>Abdomen</subject><subject>electromagnetic tracking</subject><subject>Gastric cancer</subject><subject>intra‐abdominal sarcoma</subject><subject>pelvic sarcoma</subject><subject>Sarcoma</subject><subject>soft tissue sarcoma</subject><subject>surgical navigation</subject><subject>Tumors</subject><issn>0022-4790</issn><issn>1096-9098</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kL1OwzAUhS0EEuVn4A0sscAQcJzYsUeE-BVSh8Ic3To3xVViFzsBdeMReEaeBEOZkJjucL57pPMRcpSzs5wxfr6M_oxLycstMsmZlplmWm2TScp4Vlaa7ZK9GJeMMa1lOSH9bAwLa6CjDl7tAgbrHW19oOYZug7dwroFDWjGENANNAWrgENAGLCh1g0BPt8_YN743rpUAq6hK-xeraHRtwMdbIwj0gjB-B7iAdlpoYt4-Hv3ydP11ePlbfYwvbm7vHjITCFFmSFUUgtgglWMa1mJ0gilKq0akGXBWlFgi5DmcShQlWZuRDkXYBTPFW-EKPbJyaZ3FfzLiHGoexsNdh049GOsuRCyUFXOWUKP_6BLP4a05ZtSVfIkf6jTDWWCjzFgW6-C7SGs65zV3-LrJL7-EZ_Y8w37Zjtc_w_W97Pp5uMLO1qGbA</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Reijers, Sophie J. M.</creator><creator>Heerink, Wouter J.</creator><creator>Van Veen, Ruben</creator><creator>Nijkamp, Jasper</creator><creator>Hoetjes, Nikie J.</creator><creator>Schrage, Yvonne</creator><creator>Van Akkooi, Alexander</creator><creator>Beets, Geerard L.</creator><creator>Van Coevorden, Frits</creator><creator>Ruers, Theo J. M.</creator><creator>Groen, Harald C.</creator><creator>Van Houdt, Winan J.</creator><general>Wiley Subscription Services, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4872-7746</orcidid></search><sort><creationdate>20211201</creationdate><title>Surgical navigation for challenging recurrent or pretreated intra‐abdominal and pelvic soft tissue sarcomas</title><author>Reijers, Sophie J. M. ; Heerink, Wouter J. ; Van Veen, Ruben ; Nijkamp, Jasper ; Hoetjes, Nikie J. ; Schrage, Yvonne ; Van Akkooi, Alexander ; Beets, Geerard L. ; Van Coevorden, Frits ; Ruers, Theo J. M. ; Groen, Harald C. ; Van Houdt, Winan J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3654-ea7695a05070296754c588798da6430f53efea1092a3e84cbc54b5ac82182d553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abdomen</topic><topic>electromagnetic tracking</topic><topic>Gastric cancer</topic><topic>intra‐abdominal sarcoma</topic><topic>pelvic sarcoma</topic><topic>Sarcoma</topic><topic>soft tissue sarcoma</topic><topic>surgical navigation</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reijers, Sophie J. M.</creatorcontrib><creatorcontrib>Heerink, Wouter J.</creatorcontrib><creatorcontrib>Van Veen, Ruben</creatorcontrib><creatorcontrib>Nijkamp, Jasper</creatorcontrib><creatorcontrib>Hoetjes, Nikie J.</creatorcontrib><creatorcontrib>Schrage, Yvonne</creatorcontrib><creatorcontrib>Van Akkooi, Alexander</creatorcontrib><creatorcontrib>Beets, Geerard L.</creatorcontrib><creatorcontrib>Van Coevorden, Frits</creatorcontrib><creatorcontrib>Ruers, Theo J. M.</creatorcontrib><creatorcontrib>Groen, Harald C.</creatorcontrib><creatorcontrib>Van Houdt, Winan J.</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reijers, Sophie J. M.</au><au>Heerink, Wouter J.</au><au>Van Veen, Ruben</au><au>Nijkamp, Jasper</au><au>Hoetjes, Nikie J.</au><au>Schrage, Yvonne</au><au>Van Akkooi, Alexander</au><au>Beets, Geerard L.</au><au>Van Coevorden, Frits</au><au>Ruers, Theo J. M.</au><au>Groen, Harald C.</au><au>Van Houdt, Winan J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical navigation for challenging recurrent or pretreated intra‐abdominal and pelvic soft tissue sarcomas</atitle><jtitle>Journal of surgical oncology</jtitle><date>2021-12-01</date><risdate>2021</risdate><volume>124</volume><issue>7</issue><spage>1173</spage><epage>1181</epage><pages>1173-1181</pages><issn>0022-4790</issn><eissn>1096-9098</eissn><abstract>Background
This study assessed whether electromagnetic navigation can be of added value during resection of recurrent or post‐therapy intra‐abdominal/pelvic soft tissue sarcomas (STS) in challenging locations.
Materials and Methods
Patients were included in a prospective navigation study. A pre‐operatively 3D roadmap was made and tracked using electromagnetic reference markers. During the operation, an electromagnetic pointer was used for the localization of the tumor/critical anatomical structures. The primary endpoint was feasibility, secondary outcomes were safety and usability.
Results
Nine patients with a total of 12 tumors were included, 7 patients with locally recurrent sarcoma. Three patients received neoadjuvant radiotherapy and three other patients received neoadjuvant systemic treatment. The median tumor size was 4.6 cm (2.4–10.4). The majority of distances from tumor to critical anatomical structures was <0.5 cm. The tumors were localized using the navigation system without technical or safety issues. Despite the challenging nature of these resections, 89% were R0 resections, with a median blood loss of 100 ml (20–1050) and one incident of vascular damage. Based on the survey, surgeons stated navigation resulted in shorter surgery time and made the resections easier.
Conclusion
Electromagnetic navigation facilitates resections of challenging lower intra‐abdominal/pelvic STS and might be of added value.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc</pub><doi>10.1002/jso.26624</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-4872-7746</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen electromagnetic tracking Gastric cancer intra‐abdominal sarcoma pelvic sarcoma Sarcoma soft tissue sarcoma surgical navigation Tumors |
| title | Surgical navigation for challenging recurrent or pretreated intra‐abdominal and pelvic soft tissue sarcomas |
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