Seki M, Kawamura M, Horinouchi H, Kikuchi K, Kobayashi K
Department of Surgery, Keio University, Tokyo, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1997 Aug;45(8):1143-6.
We reported a case of twenty-two years old woman who underwent seventh operation for recurrent desmoid tumor of posterior area of the lower zone of the left chest wall. For complete resection of the tumor, wide resection of the chest wall including 6th to 12th ribs was done. We used autobone grafts at the tumor site to reconstruct her bony thorax. The sixth, seventh, and ninth ribs were used as pasteurized autogenous bone grafts; they were heated in water at 60 degrees C for 30 minutes then cool, and replaced to the bony thoracic area. Her postoperative state was good and no complication was observed. Pasteurization process makes tumor tissue necrotic, and pasteurized bone has osteoinductive activity and have mechanical strength similar as that of fresh bone graft. So, we concluded that pasteurized autogenous bone grafting may be a useful method for chest wall reconstruction.
我们报告了一例22岁女性患者，她因左胸壁下区后部复发性硬纤维瘤接受了第七次手术。为了完整切除肿瘤，对胸壁进行了广泛切除，包括第6至12肋骨。我们在肿瘤部位使用自体骨移植来重建她的胸廓。第六、七和九肋骨用作巴氏消毒自体骨移植；它们在60摄氏度的水中加热30分钟，然后冷却，再放回胸廓区域。她术后状态良好，未观察到并发症。巴氏消毒过程使肿瘤组织坏死，巴氏消毒骨具有骨诱导活性，并且具有与新鲜骨移植相似的机械强度。因此，我们得出结论，巴氏消毒自体骨移植可能是一种用于胸壁重建的有用方法。
