Department of Day Surgery Center, West China Hospital, Sichuan University, No. 37 Guoxue Alley, 610041, Chengdu, China.
Lung Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
BMC Surg. 2022 Mar 18;22(1):100. doi: 10.1186/s12893-022-01550-x.
It is a big challenge to repair a large abdominal wall defect after tumor resection, and en bloc resection with vascularized tissue reconstruction might be an alternative to achieve an improved survival for abdominal wall tumors.
A 45-year-old woman presented with a 1-year history of persistent abdominal pain of the right lower quadrant and a mass with dermal ulceration. An enhanced computed tomography scan and biopsy of the mass were performed to achieve the definite diagnosis of abdominal mucinous adenocarcinoma. After four courses of "FOLFOX" chemotherapy, the tumor grew to 6 × 5 cm during preoperative examination. Thereafter, we removed the tumor and involved tissues and organs and repaired the sizeable abdominal wall defect used by biological meshes and vascularized anterolateral thigh flaps. The patient suffered green drainage of 450 ml in the abdominal cavity and intestinal anastomotic fistula, for which she readmitted and recovered afterward.
Biological mesh combined with vascularized anterolateral thigh flaps could effectively repair the large abdominal wall defect and restore the biological function of the abdominal wall.
肿瘤切除后修复大的腹壁缺损是一个巨大的挑战，整块切除联合血运重建组织可能是一种改善腹壁肿瘤患者生存的替代方法。
一名 45 岁女性，右下腹痛伴皮肤溃疡肿块 1 年。为明确诊断行腹部增强 CT 扫描及肿块活检，诊断为腹部黏液性腺癌。术前检查提示“FOLFOX”化疗 4 个疗程后肿瘤长至 6×5cm。遂行肿瘤及累及组织器官切除，生物补片联合游离股前外侧皮瓣修复较大的腹壁缺损。术后患者出现腹腔引流绿色液体 450ml，并发肠吻合口瘘，再次入院治疗后恢复。
生物补片联合游离股前外侧皮瓣能有效修复大的腹壁缺损，恢复腹壁的生物学功能。
