This review aims to summarize the evolution of surgical techniques for periacetabular metastatic cancer, assess their strengths and limitations, and clarify the corresponding indications. We conducted a comprehensive literature review on periacetabular metastatic cancer, summarizing surgical techniques involving both open and minimally invasive approaches. Additionally, we evaluated the indications for different minimally invasive techniques and proposed potential combinations of these techniques. Our review underscores the benefits of minimally invasive surgery, including reduced surgical trauma, improved patient mobility, lower complication rates, and expedited recovery times, facilitating earlier initiation of systemic cancer therapies. These techniques show substantial potential for broader application in the future. Despite the historical reliance on open surgery as the standard treatment, minimally invasive approaches are emerging as a promising alternative, particularly for managing osteolytic metastases around the acetabulum. This review provides insights into the optimal integration of these techniques, aiming to support evidence-based clinical decision-making and improve patient outcomes.
本综述旨在总结髋臼周围转移癌外科治疗技术的演进历程，评估其优势与局限性，并明确相应的适应证。通过对髋臼周围转移癌相关文献的系统回顾，我们总结了包括开放手术与微创技术在内的外科治疗方法。同时，对不同微创技术的适应证进行了评估，并提出了多种微创技术联合应用的潜在方案。本综述强调了微创手术的显著优势，包括减少手术创伤、改善患者活动能力、降低并发症发生率以及加快康复进程，从而有助于患者更早开始全身性抗癌治疗。这些技术在未来具有广泛应用的巨大潜力。尽管开放手术长期以来被视为标准治疗方案，但微创技术正逐渐成为一种前景广阔的治疗选择，尤其在处理髋臼周围溶骨性转移病灶方面展现出独特价值。本综述为这些技术的优化整合提供了见解，旨在支持循证临床决策并改善患者预后。
肿瘤(癌症)患者之家