Sakaguchi Koji, Horio Hirotoshi, Kuwabara Katsuyuki, Terao Yasunobu
Department of Thoracic Surgery, Tokyo Metropolitan Komagome Hospital, Honkomagome, Bunkyo-ku, Tokyo, 113-8677, Japan.
Surg Today. 2006;36(2):180-3. doi: 10.1007/s00595-005-3113-5.
A 67-year-old man with diabetes mellitus and chronic renal failure underwent resection of a grade 1 chondrosarcoma. We performed chest wall reconstruction of the massive defect, using a pedicled osteomuscle composite flap comprising the 6th, 8th, and 10th ribs, and the latissimus dorsi and serratus anterior muscles. This flap is ready to mobilize as a pedicled graft to cover a large chest wall defect; it is strong enough to buttress the chest cage without the need for artificial materials, and it is associated with a lower risk of infection than prosthetic materials.
一名患有糖尿病和慢性肾衰竭的67岁男性接受了1级软骨肉瘤切除术。我们使用由第6、8和10肋以及背阔肌和前锯肌组成的带蒂骨肌复合瓣对巨大缺损进行胸壁重建。该瓣可作为带蒂移植物随时移动以覆盖大的胸壁缺损；它足够坚固以支撑胸廓而无需人工材料，并且与使用假体材料相比感染风险更低。
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