Dell'Amore Andrea, Comacchio Giovanni, Ferrigno Pia, Pangoni Alessandro, Schiavon Marco, Rea Federico
Department of Cardio-Thoracic Surgery Padua University Hospital, Via Giustiniani 1 Padua (PD), Italy.
Division of Thoracic Surgery University of Padua via Giustiniani 2 35128 Padua Italy.
Multimed Man Cardiothorac Surg. 2019 Jul 25;2019. doi: 10.1510/mmcts.2019.020.
The reconstruction of the anterior chest wall after sternectomy for cancer or after mediastinitis is still a challenging procedure for the thoracic surgeon. Different surgical techniques and materials have been used for anterior chest wall reconstruction, but none of them is yet considered to be the gold standard. In this video tutorial, we report on our experience of using a sternal allograft for reconstruction of the anterior chest wall. Sternal allografts offer the same advantages as bone autografts and obviously are perfectly shaped for sternal replacement. They are simple to trim and to fix to the chest wall and, unlike autografts, do not require the patient to undergo an additional incision and procedure for harvesting the bone.
对于胸外科医生而言，在因癌症行胸骨切除术后或纵隔炎后进行前胸壁重建仍是一项具有挑战性的手术。前胸壁重建已采用了不同的手术技术和材料，但尚无一种被视为金标准。在本视频教程中，我们报告了使用胸骨同种异体移植物重建前胸壁的经验。胸骨同种异体移植物具有与自体骨移植相同的优势，并且显然其形状非常适合胸骨置换。它们易于修剪并固定于胸壁，与自体骨移植不同的是，不需要患者额外进行切口和取骨手术。
