Akiba Tadashi, Takeishi Meisei, Kinoshita Satoki, Morikawa Toshiaki
Department of Surgery, Jikei University Kashiwa Hospital, 163-1 Kashiwashita, Kashiwa, Chiba 277-8567, Japan.
Interact Cardiovasc Thorac Surg. 2011 Nov;13(5):536-8. doi: 10.1510/icvts.2011.275479. Epub 2011 Aug 26.
Only a few reports describe chest wall reconstruction after sternal resection using Gore-Tex dual mesh, and very few reports describe the use of a vascularized rib to support the thoracic cage. We present a case of a breast cancer patient who underwent anterior chest wall resection for recurrent sternal cancer. Her sternoclavicular joints bilaterally and lower sternum were divided using an electric saw. The bony chest wall was reconstructed using Gore-Tex dual mesh, and a vascularized rib was used to bridge the space between the clavicular heads to support the thoracic cage. The patient's postoperative course was uneventful, without complications, such as paradoxical respiration or pneumonia.
仅有少数报告描述了使用戈尔泰克斯双层网片进行胸骨切除术后的胸壁重建，而描述使用带血管蒂肋骨支撑胸廓的报告则极少。我们报告一例乳腺癌患者，因复发性胸骨癌接受前胸壁切除术。使用电锯将其双侧胸锁关节及胸骨下部切断。采用戈尔泰克斯双层网片重建骨性胸壁，并使用一根带血管蒂肋骨连接锁骨头部之间的间隙以支撑胸廓。患者术后恢复顺利，未出现反常呼吸或肺炎等并发症。
