Bautista Eduardo R, Zaldivar Joan Kristi D
Division of Thoracic, Cardiac and Vascular Surgery, Department of Surgery, Philippine General Hospital, University of the Philippines Manila.
Philippine General Hospital.
Acta Med Philipp. 2023 Dec 18;57(12):47-52. doi: 10.47895/amp.vi0.4909. eCollection 2023.
To describe the treatment outcomes of patients with chest wall tumors undergoing resection and Birdcage chest wall reconstruction in the local setting.
Data were obtained from 13 patients who underwent chest wall resection and Bird-cage (methylmethacrylate neo-rib, mesh, soft tissue, and skin) reconstruction in the Philippine General Hospital from January 2008 to September 2019. Demographics, operative procedures, 30-day operative morbidity, and mortality were evaluated using means and frequencies.
We included 13 (77% female) patients with a mean age of 44.5 years. The most common indication for chest wall resection was recurrent neoplasm (5/13, 38.46%). The most extensive chest wall defect was 600 cm. The average length of ICU stay was 5.15 days, and two patients had prolonged intubation (>3 days). The graft infection rate was 38%, pneumonia 23%, and the operative mortality rate was zero.
Bird-cage reconstruction is a safe, reliable, and cheap method of providing rigid chest wall reconstruction for chest wall tumor resection.
描述在当地环境下接受胸壁肿瘤切除及鸟笼式胸壁重建的患者的治疗结果。
数据来自2008年1月至2019年9月在菲律宾总医院接受胸壁切除及鸟笼式（聚甲基丙烯酸甲酯新肋骨、网片、软组织和皮肤）重建的13例患者。使用均值和频率对人口统计学、手术操作、30天手术发病率和死亡率进行评估。
我们纳入了13例患者（77%为女性），平均年龄44.5岁。胸壁切除最常见的指征是复发性肿瘤（5/13，38.46%）。最大的胸壁缺损为600平方厘米。重症监护病房平均住院时间为5.15天，2例患者插管时间延长（>3天）。移植感染率为38%，肺炎为23%，手术死亡率为零。
鸟笼式重建是一种为胸壁肿瘤切除提供坚固胸壁重建的安全、可靠且廉价的方法。
