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广泛肿瘤切除术后胸壁重建的创新技术

Innovative Technique of Chest Wall Reconstruction After Extensive Tumour Ablation Surgery.

作者信息

Kumar Vijay, Pandey Sandhya, Sharma Vikas, Yadav Shailendra

机构信息

Department of Plastic Surgery, King George's Medical University, Lucknow, India.

Department of Surgical Oncology, Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.

出版信息

Indian J Surg Oncol. 2024 Jun;15(2):364-368. doi: 10.1007/s13193-024-01890-5. Epub 2024 Feb 15.

Abstract

Chest wall reconstruction is among one of the most challenging surgeries because the defect comprises multiple components and each needs to be reconstructed separately with like tissues. Chest wall reconstruction ranges from simple skin cover to complex bony and or mediastinal/precordial reconstruction. Various methods of reconstruction include autologous as well alloplastic techniques. Autologous techniques include regional or distant flaps with or without bone. Whereas alloplastic techniques include the placement of a variety of implant materials like titanium plate/mesh, stainless steel mesh, medpore and biocompatible 3D-printed models. we present this article where extensive resection was performed, aiming to complete removal of recurrent chest wall chondrosarcoma and defect included all components of chest wall including precordial lining. The reconstruction was performed by using combined autologous as well as alloplastic techniques using acrylic implant.

摘要

胸壁重建是最具挑战性的手术之一,因为胸壁缺损包含多个部分,每个部分都需要用相似的组织分别进行重建。胸壁重建范围从简单的皮肤覆盖到复杂的骨骼和/或纵隔/心前区重建。各种重建方法包括自体技术和异体材料技术。自体技术包括带或不带骨的局部或远处皮瓣。而异体材料技术包括放置各种植入材料,如钛板/网、不锈钢网、Medpore和生物相容性3D打印模型。我们在此呈现这篇关于进行广泛切除的文章,旨在彻底切除复发性胸壁软骨肉瘤,缺损包括胸壁的所有组成部分,包括心前区衬里。通过使用丙烯酸植入物的自体和异体材料联合技术进行重建。

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