Akiba Tadashi, Marushima Hideki, Nogi Hiroko, Kamiya Noriki, Kinoshita Satoki, Takeyama Hiroshi, Morikawa Toshiaki
Department of Surgery, Jikei University Kashiwa Hospital, Kashiwa, Chiba, Japan.
Ann Thorac Cardiovasc Surg. 2012;18(2):166-9. doi: 10.5761/atcs.cr.11.01718. Epub 2011 Oct 28.
This study aimed to evaluate the clinical outcomes of chest wall reconstruction using a relatively new expanded polytetrafluoroethylene prosthesis Gore-Tex(®) dual mesh.
We reviewed charts of 11 patients who underwent bony chest wall resection from April 2006 to January 2011.
Six patients underwent three ribs resection, three patients underwent two ribs resection, and the other two patients underwent sternal resection. Of six patients after three ribs resection, three underwent reconstruction using 2 mm Gore-Tex(®) dual mesh, one using Gore-Tex(®), one using Bard composite E/X, and the remaining one used no prosthesis. Three patients who underwent two ribs resection underwent no chest wall reconstruction using prosthesis. Two patients who underwent sternal resection underwent chest wall reconstruction using dual mesh with or without a vascularized musculocutaneous pedicle flap. Immediate postoperative extubation was performed in all patients, except one who was extubated the following day. No postoperative deaths or cases with paradoxical respiration occurred.
Chest wall reconstruction using Gore-Tex(®) dual mesh demonstrated acceptable durability.
本研究旨在评估使用一种相对较新的膨体聚四氟乙烯人工材料Gore-Tex（®）双层补片进行胸壁重建的临床效果。
我们回顾了2006年4月至2011年1月期间11例行胸壁骨性切除患者的病历。
6例患者切除三根肋骨，3例患者切除两根肋骨，另外2例患者行胸骨切除。在切除三根肋骨的6例患者中，3例使用2毫米Gore-Tex（®）双层补片进行重建，1例使用Gore-Tex（®），1例使用巴德复合E/X补片，其余1例未使用人工材料。3例切除两根肋骨的患者未使用人工材料进行胸壁重建。2例行胸骨切除的患者使用双层补片并联合或不联合带血管蒂肌皮瓣进行胸壁重建。除1例于术后次日拔管外，所有患者均于术后立即拔管。未发生术后死亡或反常呼吸病例。
使用Gore-Tex（®）双层补片进行胸壁重建显示出可接受的耐用性。
