Tan Z B, Lamichhane N, Thakur B, Liu D X, Xiao Q H
Department of Surgical Oncology, B. P. Koirala Memorial Cancer Hospital, Chitwan, Nepal.
Indian J Cancer. 2003 Jan-Mar;40(1):27-30.
To see the results of patients who underwent chest wall resection and reconstruction (CWRR).
Retrospective descriptional study.
We retrospectively reviewed all patients who underwent CWRR at Xingtai People's Hospital in China and B.P. Koirala Memorial Cancer Hospital in Nepal. A total of 31 patients were reviewed. Among them, 20 were male and 11 female. The median age was 63 years. The indications for resection were primary chest wall tumor in 21 patients (67.7%), lung cancer with invasion of chest wall 6 (19.4%), recurrence of breast cancer 2(6.3%), radiation necrosis 1(3.2%) and skin cancer 1(3.2%).
The mean number of rib resected was 3.6 ribs, which induced a mean defect of 97.1 cm2. Concomitant resection was done in 13 patients, including lung resection 10, partial resection of diaphragm 2, and partial sternectomy 1. Seven patients underwent soft tissue reconstruction (STR) alone and 5 patients skeletal reconstruction (SR) alone. Simultaneous SR and STR were performed in 19 patients. Three patients (9.7%) developed postoperative complications. The median survival period was 22 months.
Primary chest wall tumor and lung cancer invading chest wall are the most common diseases indicating CWRR. Simultaneous bony and soft tissue reconstruction was reliable for chest wall reconstruction in most cases and prevents postoperative complications.
观察接受胸壁切除重建术（CWRR）患者的治疗结果。
回顾性描述性研究。
我们回顾性分析了在中国邢台市人民医院和尼泊尔BP柯伊拉腊纪念癌症医院接受CWRR的所有患者。共纳入31例患者。其中，男性20例，女性11例。中位年龄为63岁。切除指征为原发性胸壁肿瘤21例（67.7%）、肺癌侵犯胸壁6例（19.4%）、乳腺癌复发2例（6.3%）、放射性坏死1例（3.2%）和皮肤癌1例（3.2%）。
平均切除肋骨数为3.6根，平均缺损面积为97.1平方厘米。13例患者进行了联合切除，包括肺切除10例、部分膈肌切除2例和部分胸骨切除1例。7例患者仅接受软组织重建（STR），5例患者仅接受骨骼重建（SR）。19例患者同时进行了SR和STR。3例患者（9.7%）发生术后并发症。中位生存期为22个月。
原发性胸壁肿瘤和肺癌侵犯胸壁是CWRR最常见的适应证。在大多数情况下，同时进行骨和软组织重建对胸壁重建是可靠的，并可预防术后并发症。
