Der Chirurg

, Volume 90, Issue 2, pp 94–101 | Cite as

Weichgewebssarkome: Extremitätenerhalt durch plastisch-rekonstruktive Verfahren

  • M. LehnhardtEmail author
  • A. Sogorski
  • C. Wallner
  • M. Wagner
  • M. Dadras
  • B. Behr
  • K Harati


Die Therapie der Wahl bei Weichteilsarkomen mit lokalisiertem Befall besteht weiterhin in der kompletten chirurgischen Entfernung im Gesunden. Das Ziel der operativen Therapie ist die Erlangung tumorfreier Resektionsränder im Sinne einer R0-Resektion. Keine andere Therapiemöglichkeit kann diese wichtige onkologische Kondition ebenbürtig ersetzen. Die enorme Entwicklung im Bereich der rekonstruktiven plastischen Chirurgie und hier insbesondere die Fortschritte in der Lappentechnik und Mikrochirurgie erlauben den Extremitätenerhalt und die funktionelle Rekonstruktion auch bei ausgedehnten Fällen.


Funktionelle Rekonstruktion Lappentechnik Amputation Chemotherapie Extremitätenpersfusion 

Soft tissue sarcomas: limb salvage using reconstructive plastic surgery techniques


The treatment of choice for soft tissue sarcomas with local involvement is still the complete surgical removal into healthy tissue. The aim of surgery is to achieve tumor-free resection margins in the sense of a R0 resection. No other treatment option can equally replace this important oncological condition. The enormous development in the field of reconstructive plastic surgery and in particular the advances in flap techniques and microsurgery enable limb salvage and the functional reconstruction even in the case of extensive tumors.


Functional reconstruction Surgical flaps Amputation Chemotherapy Limb perfusion 


Einhaltung ethischer Richtlinien


M. Lehnhardt, A. Sogorski, C. Wallner, M. Wagner, M. Dadras, B. Behr und K. Harati geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren. Für Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, über die Patienten zu identifizieren sind, liegt von ihnen und/oder ihren gesetzlichen Vertretern eine schriftliche Einwilligung vor.


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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  • M. Lehnhardt
    • 1
    Email author
  • A. Sogorski
    • 1
  • C. Wallner
    • 1
  • M. Wagner
    • 1
  • M. Dadras
    • 1
  • B. Behr
    • 1
  • K Harati
    • 1
  1. 1.Klinik für Plastische Chirurgie und Schwerbrandverletzte, Handchirurgiezentrum, Referenzzentrum für GliedmaßentumorenBG-Universitätskliniken Bergmannsheil Bochum, Ruhr-Universität-BochumBochumDeutschland

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