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Chest wall resections and reconstruction: a 25-year experience
Kamal A Mansour1, Vinod H Thourani, Albert Losken
1Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, Georgia 30322, USA. kamalmansour@emoryheathcare.org
The Annals of Thoracic Surgery
|June 25, 2002
Summary
This study reports on 25 years of chest wall resections and reconstructions in 200 patients. Surgical techniques using synthetic mesh or muscle flaps offer a safe and effective one-stage solution for major chest wall defects.
Area of Science:
- Thoracic surgery
- Reconstructive surgery
- Surgical oncology
Background:
- Chest wall defects pose complex challenges for surgeons.
- A 25-year experience in chest wall resection and reconstruction is presented.
- This study addresses the treatment of major chest wall defects.
Purpose of the Study:
- To report on a 25-year experience with chest wall resections and reconstructions.
- To evaluate the safety and efficacy of surgical techniques for chest wall defects.
- To analyze outcomes of patients undergoing chest wall reconstruction.
Main Methods:
- Retrospective review of 200 patients from 1975 to 2000.
- Analysis of surgical indications, including cancers and deformities.
- Evaluation of reconstruction methods: synthetic mesh and local flaps.
Main Results:
- Common comorbidities included tobacco abuse, hypertension, and COPD.
- Surgical indications comprised lung cancer, breast cancer, chest wall tumors, and pectus deformities.
- 93% in-hospital and 30-day survival rate was achieved.
- Mean number of ribs resected was 4; sternal resections in 56 patients.
Conclusions:
- Chest wall resection and reconstruction is a safe and effective one-stage procedure.
- Synthetic mesh and local muscle flaps are viable options for reconstruction.
- This approach addresses a variety of major chest wall defects successfully.