Resección compartimental mediante abordaje quirúrgico modificado en sarcomas de partes blandas del deltoides

espanolSe describe una tecnica quirurgica para la reseccion radical de sarcomas de partes blandas confinados al compartimento deltoideo en tres pacientes, asi como los resultados clinicos y funcionales, ademas de la evolucion oncologica de su patologia. Se realiza un abordaje en “Y” que permite la desinsercion proximal y distal del deltoides, incluyendo en la pieza tumoral una isla cutanea lateral con la zona de biopsia previa, evitando la necesidad de tecnicas de cobertura. No se desarrollaron complicaciones de la herida quirurgica ni casos de recurrencias locales. Todos los pacientes presentaron un rango de movilidad minimo de 130o de abduccion y una perdida de fuerza para la abduccion y antepulsion. Concluimos que los pacientes con neoplasias malignas confinadas al compartimento deltoideo tratados con la reseccion radical segun la tecnica descrita presentan unos resultados funcionales excelentes, en ausencia de lesiones del manguito concomitantes, con un menor riesgo de recidiva local. EnglishA surgical technique for radical excision of soft tissue malignant sarcomas is described and functional and oncologic outcomes of this procedure in three patients diagnosed of soft tissue sarcoma are reported. A “Y” approach is used to perform a complete release of deltoid attachments in the scapula, clavicle and proximal humerus. This approach also allows an excision of the biopsy site, avoiding the establishment of large flaps coverage. No local recurrence or surgical wound complications were found. All the patients showed a good range of motion (130o of abduction) but loss of strength in abduction and antepulsion was found. We conclude that patients with malignant soft tissue tumors involving the deltoid muscle which undergo a wide resection of the bump through the previously described technique have an excellent functional outcome with low risk of recurrence, in absence of concomitant rotator cuff injuries.