Bodin Frédéric, Dissaux Caroline, Steib Jean-Paul, Massard Gilbert
Department of Plastic Surgery, Strasbourg Academic Hospital, Strasbourg, France
Department of Plastic Surgery, Strasbourg Academic Hospital, Strasbourg, France.
Eur J Cardiothorac Surg. 2016 Mar;49(3):1008-9. doi: 10.1093/ejcts/ezv141. Epub 2015 Mar 29.
Radical resection of an extended malignant sarcoma of the chest wall requires full-thickness thoracic chest wall reconstruction. Reconstruction is tedious in the case of posteriorly located tumours, because the ipsilateral pedicled myocutaneous latissimus dorsi flap is involved and hence not usable for soft tissue coverage. We report an original case of a left giant dorsal chondrosarcoma originating from the 11th costovertebral joint. After extended resection and skeletal reconstruction, soft tissue coverage was achieved with an original contralateral free flap encompassing both latissimus dorsi and serratus anterior muscles. The flap pedicle was anastomosed to the ipsilateral thoracodorsal vessels.
广泛切除胸壁恶性肉瘤需要进行胸壁全层重建。对于位于后方的肿瘤，重建过程较为繁琐，因为同侧带蒂背阔肌肌皮瓣会受到影响，无法用于软组织覆盖。我们报告了一例起源于第11肋椎关节的左背部巨大软骨肉瘤的病例。在广泛切除和骨骼重建后，采用了一种包含双侧背阔肌和前锯肌的对侧游离皮瓣进行软组织覆盖。皮瓣蒂部与同侧胸背血管进行了吻合。
