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- Title
Clinical outcome of latissimus dorsi reconstruction after wide resection of soft-tissue sarcoma.
- Authors
Kita, Kouji; Nakamura, Tomoki; Tsujii, Masaya; Kato, Jiro; Hagi, Tomohito; Asanuma, Kunihiro; Sudo, Akihiro
- Abstract
Background: We investigated the clinical outcomes of reconstruction using the latissimus dorsi (LD) flap after resection of soft-tissue sarcoma. Materials and methods: We analyzed 19 patients. Free LD flap was performed in 11 patients and pedicle flap in eight patients. The mean follow-up period after the surgery was 60 months. Results: The mean age at diagnosis was 57 years. The mean tumor size was 9.8 cm. The median size of the LD flap was 140 × 100 mm. The mean surgical duration and bleeding were 510 min and 602 mL, respectively. Complications included partial skin and soft-tissue necrosis (n = 3) and wound dehiscence (n = 2). No additional free flap was not necessary for the closure of the defect due to the complications. The longer surgical duration was significantly associated with wound complications (P = 0.048). The 5-year survival rate was 80.7%, and the local recurrence-free survival rate was 89.2%. Two patients developed local recurrence, while 6 patients developed metastasis. None of the patients had any restrictions of daily life. Conclusion: The LD flap after surgical tumor resection in patients with soft-tissue sarcoma was useful for the coverage of soft tissue.
- Subjects
SURGICAL complication risk factors; CANCER relapse; SURGICAL flaps; METASTASIS; NECROSIS; SARCOMA; SOFT tissue tumors; PLASTIC surgery; TIME; TREATMENT effectiveness; LATISSIMUS dorsi (Muscles); TREATMENT duration; SURGICAL blood loss; SURGICAL wound dehiscence; EVALUATION
- Publication
European Journal of Orthopaedic Surgery & Traumatology, 2020, Vol 30, Issue 8, p1441
- ISSN
1633-8065
- Publication type
Article
- DOI
10.1007/s00590-020-02723-1