27059 Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater

Name of the Procedure:

Radical Resection of Tumor (e.g., Sarcoma), Soft Tissue of Pelvis and Hip Area; 5 cm or Greater

Summary

Radical resection of a tumor in the soft tissue of the pelvis and hip area is a surgical procedure performed to remove cancerous growths larger than 5 cm. This involves excising the tumor along with some surrounding healthy tissue to ensure complete removal.

Purpose

This procedure addresses soft tissue sarcomas or other malignancies in the pelvis and hip region. The primary goal is to remove the tumor entirely to prevent the cancer from spreading, reducing the risk of recurrence and alleviating symptoms caused by the tumor.

Indications

• Presence of a palpable mass in the pelvis or hip region suspected to be cancer.
• Imaging or biopsy confirming a soft tissue sarcoma or other malignant tumor greater than 5 cm.
• Progressive symptoms such as pain, swelling, or reduced mobility caused by the tumor.

Preparation

• Patients are typically instructed to fast for at least 8 hours before the surgery.
• Pre-operative assessments may include blood tests, imaging studies (MRI, CT scan), and biopsy results.
• Adjustments to current medications might be necessary, including stopping blood thinners.
• Patients may need to undergo a pre-anesthetic evaluation.

Procedure Description

1. Anesthesia: General anesthesia is administered to ensure the patient is asleep and pain-free.
2. Incision: A surgical incision is made over the tumor site.
3. Exploration: The surgeon identifies the tumor and asses its extent.
4. Resection: The tumor and a margin of surrounding healthy tissue are carefully removed.
5. Reconstruction: If needed, reconstructive techniques may be utilized to repair the excised area.
6. Closure: The incision is closed with sutures or staples, and a drain may be placed to prevent fluid accumulation.

Duration

The procedure typically lasts between 2 to 4 hours, depending on the tumor size and complexity.

Setting

The surgery is performed in a hospital operating room.

Personnel

• Orthopedic or surgical oncologists
• Anesthesiologists
• Surgical nurses
• Operating room technicians

Risks and Complications

• Infection at the surgical site
• Bleeding or blood clots
• Damage to surrounding structures (nerves, blood vessels)
• Post-operative pain and swelling
• Recurrence of cancer
• Anesthesia-related complications

Benefits

• Complete removal of the tumor reduces the risk of cancer spread.
• Potential alleviation of symptoms such as pain and mobility issues.
• Improved quality of life and extended survival.

Recovery

• Hospital stay of a few days for monitoring and initial recovery.
• Pain management may include medications.
• Instructions on wound care and activity restrictions.
• Follow-up appointments to monitor recovery and check for recurrence.
• Physical therapy may be recommended to regain function and strength.

Alternatives

• Radiation therapy to shrink the tumor before surgery or as a standalone treatment.
• Chemotherapy to target cancer cells systemically.
• Less invasive surgical options may be considered based on tumor size and location.
• Palliative care for symptom management in advanced cases.

Patient Experience

Patients can expect to be under general anesthesia during the procedure, so they will not feel anything during surgery. Post-operatively, they may experience some pain and discomfort managed with medications. Recovery involves gradual resumption of activities, and physical therapy might be necessary to restore mobility.