Search

O T m m l a m a t p o o b e t any surgeons consider a tumor unresectable once it nfiltrates the sacrum. Reluctance to remove parts of the acrum in radical cancer surgery is based on a number of oncerns. Many surgeons fear uncontrollable blood loss f the presacral venous plexus is opened during operaion. They worry about extensive neurologic damage nd instability of the pelvic ring, and they are afraid hat tumors that extend into the sacrum have such poor rognosis that extensive radical resection will not transate into worthwhile gains in survival and that the qualty of life during that time will be extremely poor. In this article, we report on the practice of sacral reection in the Netherlands Cancer Institute. We describe ome aspects of indications and surgical technique and e report on our experience in 26 procedures, with focus n perioperative events, postoperative recovery, and lastng functional effects.