TY - JOUR TI - Double approach operation for large extracompartmental proximal thigh tumors AU - Papanastassiou, Ioannis D. AU - Karypidis, Dimitrios AU - Kokkalis, Zinon AU - T. AU - Gerochristou, Maria A. AU - Demertzis, Nikolaos JO - International Journal of Surgical Oncology PY - 2013 VL - 107 TODO - 6 SP - 673-679 PB - Wiley SN - 2090-1402, 2090-1410 TODO - 10.1002/jso.23296 TODO - metastatic tumors; femoral triangle; proximal femoral; megaprosthesis; double; approach; surgical technique; sarcoma TODO - Resection of large femoral triangle tumors that invade the bone (or vice versa) still remains a challenge. A lateral-only approach would hinder dissection of the mass, away from the femoral vessels, while an iliofemoral-only type of approach would make bone resection and megaprosthetic reconstruction very arduous. The authors describe a two-stage, one-position operation via a double surgical approach: the first stage is comprised by an iliofemoral approach and dissection of the femoral vessels, followed by proximal femoral resection and reconstruction stage. One illustrative case is presented along with the authors overall experience. We believe that this operation facilitates wide tumor resection in a safe and step-wise manner, as not to add to the morbidity of the procedure. J. Surg. Oncol. 2013;107:673679. (c) 2012 Wiley Periodicals, Inc. ER -