RESUMO
INTRODUCTION: Soft-tissue sarcoma resections are often highly complex procedures that demand meticulous pre-operative planning in order to maximise the potential for complete excision with clear margins, while preserving vital neurovascular structures and muscle groups. SUBJECTS AND METHODS: We present a computer-aided model for surgical planning using Microsoft Powerpoint as a tool for cross referencing magnetic resonance images and normal anatomical diagrams. RESULTS: Using this system the operator follows a sequence of pre-planned steps, minimising intra-operative decision making and unexpected adverse events. Four case studies are discussed. CONCLUSIONS: The visual plan optimises the potential to meet surgical and oncological goals, and serves as an excellent adjunct to the operation note for documentation of the procedure.
Assuntos
Sarcoma/cirurgia , Neoplasias de Tecidos Moles/cirurgia , Cirurgia Assistida por Computador/métodos , Adulto , Idoso , Humanos , Imageamento por Ressonância Magnética , Masculino , Cuidados Pré-Operatórios/métodos , Sarcoma/patologia , Neoplasias de Tecidos Moles/patologia , Adulto JovemRESUMO
We present a case of a 53 year old gentleman with a previous history of a microcystic adnexal carcinoma in the supraorbital region who represented with pain and tenderness 3 years postoperatively. Although this was thought to represent local recurrence, it proved to be a supraorbital neuroma.
