Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 443, Houston, TX 77030, USA.
Thorac Surg Clin. 2010 Nov;20(4):543-50. doi: 10.1016/j.thorsurg.2010.07.001.
Reconstruction of the chest wall represents an important part of a patient's treatment following resection of various thoracic tumors. Many different types of flaps, including both pedicled and free flaps, have been described for use in chest wall reconstruction. These reconstructions are most effectively managed with a multidisciplinary approach involving plastic and cardiothoracic surgery. The pectoralis major, latissimus dorsi, rectus abdominis, trapezius, and external oblique muscles and the omentum are all local options that can play an important role in the reconstruction of the chest wall.
胸壁重建是各种胸部肿瘤切除术后患者治疗的重要组成部分。已经描述了许多不同类型的皮瓣,包括带蒂皮瓣和游离皮瓣,用于胸壁重建。这些重建最好通过涉及整形和心胸外科的多学科方法来有效管理。胸大肌、背阔肌、腹直肌、斜方肌和腹外斜肌以及大网膜都是局部选择,可以在胸壁重建中发挥重要作用。