背阔肌游离皮瓣修复广泛全层腹壁缺损。硬纤维瘤病例。
Latissimus dorsi free flap for reconstruction of extensive full-thickness abdominal wall defect. A case of desmoid tumor.
机构信息
Service de chirurgie plastique et maxillo-faciale, hôpitaux universitaires de Strasbourg, 1 place de l'Hôpital, Strasbourg cedex, France.
出版信息
J Visc Surg. 2010 Apr;147(2):e45-8. doi: 10.1016/j.jviscsurg.2010.05.005. Epub 2010 Jun 26.
Abstract
Desmoid tumor is a rare, benign fibroblastic tumor that is characterized by highly aggressive local invasiveness. The authors report the case of a 35-year-old male who presented with a 20 cm para-umbilical tumor invading the right rectus abdominis muscle. This required a wide excision of the abdominal wall. The resulting defect was closed with a single-stage latissimus dorsi myocutaneous free flap in combination with a prosthetic mesh reconstruction. The authors discuss the therapeutic options for management of these rare tumors and the variety of available techniques for coverage and reconstruction after extensive parietal loss of substance.
摘要
腹壁硬纤维瘤是一种罕见的良性成纤维细胞肿瘤，具有高度侵袭性的局部浸润性。作者报告了一例 35 岁男性患者，其脐旁 20 厘米的肿瘤侵犯了右侧腹直肌。这需要广泛切除腹壁。采用一期背阔肌肌皮瓣联合假体网片重建来闭合由此产生的缺损。作者讨论了这些罕见肿瘤的治疗选择以及广泛壁层物质损失后的覆盖和重建的各种可用技术。
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本文引用的文献
1
Abdominal wall and foot reconstruction after extensive desmoid tumor resection with free tissue transfer.
Langenbecks Arch Surg. 2002 Mar;386(8):592-7. doi: 10.1007/s00423-002-0277-y. Epub 2002 Mar 2.
2
Complex abdominal wall reconstruction: a comparison of flap and mesh closure.
Ann Surg. 2000 Oct;232(4):586-96. doi: 10.1097/00000658-200010000-00014.
3
Anterolateral thigh flap donor-site complications and morbidity.
Plast Reconstr Surg. 2000 Sep;106(3):584-9. doi: 10.1097/00006534-200009030-00009.
4
An algorithm for abdominal wall reconstruction.
Plast Reconstr Surg. 2000 Jan;105(1):202-16; quiz 217. doi: 10.1097/00006534-200001000-00036.
5
[Malignant tumors of the abdominal wall. 10 years of experience at the Saint-Louis Hospital].
Ann Chir Plast Esthet. 1999 Aug;44(4):373-83.
6
Desmoid tumor: prognostic factors and outcome after surgery, radiation therapy, or combined surgery and radiation therapy.
J Clin Oncol. 1999 Jan;17(1):158-67. doi: 10.1200/JCO.1999.17.1.158.
7
Desmoid tumours of the anterior abdominal wall.
Eur J Surg Oncol. 1999 Aug;25(4):398-400. doi: 10.1053/ejso.1999.0664.
8
[Large abdominal wall reconstruction by free flap after recurrence of a dermatofibrosarcoma protuberans].
Ann Chir Plast Esthet. 1996 Dec;41(6):660-5.
9
Free innervated latissimus dorsi muscle flap for reconstruction of full-thickness abdominal wall defects.
Plast Reconstr Surg. 1998 Apr;101(4):971-8. doi: 10.1097/00006534-199804040-00013.
10
Role of tensor fasciae latae in abdominal wall reconstruction.
Plast Reconstr Surg. 1998 Mar;101(3):713-8. doi: 10.1097/00006534-199803000-00020.
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