Tulner Sven A F, van den Tol M Petrousjka, Meijer Sybren
Department of Surgical Oncology, VU Medical Centre, Amsterdam, The Netherlands.
Department of Surgical Oncology, VU Medical Centre, Amsterdam, The Netherlands
J Surg Case Rep. 2013 Aug 29;2013(8):rjt049. doi: 10.1093/jscr/rjt049.
Radical resection of primary or solitary secondary malignant sternal tumours is indicated in patients without metastases. Sternal reconstruction may be indicated in large defects to prevent pulmonary complications, to achieve protection of intra-thoracic organs and to obtain a good aesthetic result. In this article, a modified surgical technique is described to fill and reconstruct large defects after radical resection of a primary or secondary malignant sternal tumour. The technique makes use of a methyl methacrylate composite within two layers of polypropylene mesh enforced by steel wires through the sternal ends of the defect enhancing stability. This modified technique can be easily applied, making curative broad radical resections of the sternum feasible.
对于无转移的患者，建议对原发性或孤立性继发性恶性胸骨肿瘤进行根治性切除。对于大的缺损，可能需要进行胸骨重建，以预防肺部并发症、保护胸内器官并获得良好的美学效果。本文描述了一种改良手术技术，用于在原发性或继发性恶性胸骨肿瘤根治性切除后填充和重建大的缺损。该技术利用聚甲基丙烯酸甲酯复合材料夹在两层聚丙烯网中间，并通过缺损的胸骨端用钢丝加固以提高稳定性。这种改良技术易于应用，使胸骨的根治性广泛切除成为可能。
