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扩大性半骨盆切除术后游离腓骨瓣腹壁重建术

Abdominal Wall Reconstruction with a Free Fibula Flap after Internal Extended Hemipelvectomy.

作者信息

Cavadas Pedro C, Téllez-Palacios Daniela

机构信息

Department of Reconstructive Surgery, Clínica Cavadas, Valencia, Spain.

Department of Reconstructive Microsurgery, Clínica Cavadas, Valencia, Spain.

出版信息

Indian J Plast Surg. 2020 Mar;53(1):131-134. doi: 10.1055/s-0040-1709378. Epub 2020 Apr 1.

DOI:10.1055/s-0040-1709378
PMID:32367928
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7192704/
Abstract

Major pelvic resections for malignant tumors are infrequent and have significant morbidity and mortality, for instance, incisional hernias are postoperative complications uncommonly reported probably because most cases are overshadowed by more serious complications. Reconstruction depends on the extent of the resection and overall prognosis of the patient. A case of a late complex hypogastric and femoral incisional hernia after extended hemipelvectomy for recurrent osteosarcoma treated with distal abdominal wall fixation into a free fibula flap is reported.

摘要

针对恶性肿瘤的大范围盆腔切除术并不常见，且具有较高的发病率和死亡率。例如，切口疝是术后并发症，但报道较少，可能是因为大多数病例被更严重的并发症所掩盖。重建取决于切除范围和患者的总体预后。本文报道了一例复发性骨肉瘤扩大半骨盆切除术后发生晚期复杂性下腹和股部切口疝，采用游离腓骨瓣固定于远端腹壁进行治疗的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a5f/7192704/14aa7cc3a533/10-1055-s-0040-1709378_00255_05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a5f/7192704/616d9c36d3e7/10-1055-s-0040-1709378_00255_01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a5f/7192704/dbac49511aaa/10-1055-s-0040-1709378_00255_02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a5f/7192704/5f6e7c58b1df/10-1055-s-0040-1709378_00255_03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a5f/7192704/35bf147438ef/10-1055-s-0040-1709378_00255_04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a5f/7192704/14aa7cc3a533/10-1055-s-0040-1709378_00255_05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a5f/7192704/616d9c36d3e7/10-1055-s-0040-1709378_00255_01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a5f/7192704/dbac49511aaa/10-1055-s-0040-1709378_00255_02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a5f/7192704/5f6e7c58b1df/10-1055-s-0040-1709378_00255_03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a5f/7192704/35bf147438ef/10-1055-s-0040-1709378_00255_04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a5f/7192704/14aa7cc3a533/10-1055-s-0040-1709378_00255_05.jpg

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引用本文的文献

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本文引用的文献

1
Survival rate and perioperative data of patients who have undergone hemipelvectomy: a retrospective case series.接受半骨盆切除术患者的生存率及围手术期数据：一项回顾性病例系列研究。
World J Surg Oncol. 2016 Oct 7;14(1):255. doi: 10.1186/s12957-016-1001-7.
2
Analysis of surgical and oncological outcome in internal and external hemipelvectomy in 34 patients above the age of 65 years at a mean follow-up of 56 months.对34例65岁以上患者进行内、外半骨盆切除术的手术及肿瘤学结果分析，平均随访56个月。
BMC Musculoskelet Disord. 2015 Feb 18;16:33. doi: 10.1186/s12891-015-0494-5.
3
Pelvic ring reconstruction with a double-barreled free vascularized fibula graft after resection of malignant pelvic bone tumor.
恶性骨盆骨肿瘤切除术后采用双筒游离带血管腓骨移植进行骨盆环重建。
Arch Orthop Trauma Surg. 2015 May;135(5):619-25. doi: 10.1007/s00402-015-2197-7. Epub 2015 Mar 21.
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Incisional hernia of the urinary bladder following internal hemipelvectomy.半侧盆腔内切除术后膀胱切口疝
Int J Surg Case Rep. 2012;3(7):316-8. doi: 10.1016/j.ijscr.2012.04.002. Epub 2012 Apr 9.
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Pelvic ring reconstruction with the double-barreled vascularized fibular free flap.采用双筒带血管游离腓骨瓣进行骨盆环重建。
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Posthemipelvectomy hernia.
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