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- Title
基于多学科综合治疗模式的胸壁肿瘤术后 巨大复合组织缺损的修复策略.
- Authors
俞楠泽; 孙怡馨; 张海林; 曾昂; 王智; 龙笑; 白明; 冯程; 黄久佐; 肖一丁; 孟湉; 龙飞; 赵茹; 李单青; 王晓军
- Abstract
Objective To explore the strategy of reconstruction of giant composite tissue defects after chest wall tumor resection. Methods Medical records of reconstruction of giant composite tissue defects after chest wall tumor resection from January 2007 to January 2021 were retrospectively analyzed and summarized. Twenty-three patients underwent multi-disciplinary team (MDT) treatment were involved in this study. Results In all patients included, 19 patients underwent bone reconstruction, of which 8 used titanium mesh and 11 used titanium rods. All patients received soft tissue reconstruction, of which 12 used pedicled latissimus dorsi musculocutaneous flap, 4 used pedicled rectus abdominis musculocutaneous flap, 4 used pectoralis major musculocutaneous flap, 2 used local flap and 1 received free anterolateral thigh flap. The average follow-up period was (32.96±22.85) months. Finally, 11 patients with malignant tumors died of metastasis, and the other 7 patients with malignant tumors and 5 patients with benign tumors survived. Among 12 surviving patients, 3 experienced expanded debridement and local flap transfer because of unhealing wound. Conclusion The repair of giant composite tissue defects after chest wall tumor resection requires multidisciplinary collaboration. The basic idea of repair is bone reconstruction and soft tissue repair. For bone reconstruction, titanium rods and titanium mesh can be used. For soft tissue repair, latissimus dorsi flap and rectus abdominis flap can be used.
- Subjects
MUSCULOCUTANEOUS flaps; RECTUS abdominis muscles; TUMOR surgery; BENIGN tumors; MEDICAL records
- Publication
Chinese Journal of Aesthetic & Plastic Surgery, 2022, Vol 33, Issue 11, p688
- ISSN
1673-7040
- Publication type
Article
- DOI
10.3969/j.issn.1673-7040.2022.11.013