Hazel Kweku, Weyant Michael J
Section of General Thoracic Surgery, Division of Cardiothoracic Surgery, University of Colorado Denver School of Medicine, 12631 East 17th Avenue, MS C310, Aurora, CO 80045, USA.
Section of General Thoracic Surgery, Division of Cardiothoracic Surgery, University of Colorado Denver School of Medicine, 12631 East 17th Avenue, MS C310, Aurora, CO 80045, USA.
Thorac Surg Clin. 2015 Nov;25(4):517-21. doi: 10.1016/j.thorsurg.2015.07.013.
The main indications for chest wall resection continue to be tumors, infection, and radiation injury. Complications surrounding chest wall resection procedures include respiratory failure, wound complications, and prosthetic complications. The main risk factors for complications are size of defect, age, and concomitant lung resection. Most complications related to either the wound or the prosthesis are late postoperative events. The identification of complications related to chest wall reconstruction requires clinical examination and the use of detailed imaging studies. The management of both prosthetic and wound complications often requires reoperation and removal of the prosthesis combined with soft tissue wound management.
胸壁切除的主要适应证仍然是肿瘤、感染和放射损伤。胸壁切除手术相关的并发症包括呼吸衰竭、伤口并发症和假体并发症。并发症的主要危险因素是缺损大小、年龄和同期肺切除。大多数与伤口或假体相关的并发症是术后晚期事件。识别与胸壁重建相关的并发症需要临床检查和使用详细的影像学检查。假体和伤口并发症的处理通常需要再次手术，取出假体并结合软组织伤口处理。
