Stiles Zachary E, Lohman Robert F, Mann Gary N
Department of Surgical Oncology, Roswell Park Comprehensive Cancer Center, 128 Carlton Street, 6th Floor, Buffalo, NY, 14263, USA.
Department of Plastic and Reconstructive Surgery, Roswell Park Comprehensive Cancer Center, 128 Carlton Street, 7th Floor, Buffalo, NY, 14263, USA.
Surg Clin North Am. 2022 Aug;102(4):583-599. doi: 10.1016/j.suc.2022.04.008. Epub 2022 Jun 24.
Surgical wide resection is the mainstay of treatment of sarcomas, but the advent of multimodality therapy has improved outcomes and the rates of limb-sparing resection. Often, wounds are unable to be closed primarily and require plastic surgical reconstruction. Following adequate oncologic resection, reconstruction should focus on maintaining functional and esthetic outcomes with minimal postoperative complications. Reconstruction methods range from simple techniques such as skin grafting and local rotational flaps all the way to more complex procedures such as free flaps. The reconstructive surgeon is an integral member of the multidisciplinary team and should be actively involved in treatment planning.
手术广泛切除是肉瘤治疗的主要手段，但多模式治疗的出现改善了治疗效果和保肢切除率。通常，伤口无法一期闭合，需要整形外科重建。在进行充分的肿瘤切除后，重建应注重在术后并发症最少的情况下维持功能和美观效果。重建方法从简单的技术如植皮和局部旋转皮瓣到更复杂的手术如游离皮瓣不等。重建外科医生是多学科团队不可或缺的成员，应积极参与治疗计划制定。
