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Sternal resection and reconstruction after malignant tumours.

J M Galbis Caravajal1, L Yeste Sánchez, C A Fuster Diana

  • 1Department of Thoracic Surgery, General Universitary Hospital of Valencia, Valencia, Spain. josegalbiscar@gmail.com

Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico
|February 13, 2009
PubMed
Summary

Surgical resection of sternal tumors followed by mesh and flap reconstruction effectively controls local disease. This approach demonstrated zero post-operative mortality in a study of eleven patients.

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Published on: January 5, 2015

Area of Science:

  • Thoracic surgery
  • Surgical oncology
  • Reconstructive surgery

Background:

  • Sternal tumors, both primary and metastatic, present significant challenges in surgical management.
  • Chest wall defects following sternal tumor resection require robust reconstruction to ensure respiratory function and structural integrity.

Purpose of the Study:

  • To evaluate the efficacy of wide sternal tumor resection and subsequent reconstruction using prosthetic mesh and musculocutaneous flaps.
  • To assess the oncological outcomes and functional results of this combined surgical approach.

Main Methods:

  • Eleven patients underwent sternal tumor resection and immediate chest wall reconstruction.
  • Reconstruction involved prosthetic materials (polytetrafluoroethylene [PTFE], polypropylene, titanium) and pedicled musculocutaneous flaps (pectoralis major, latissimus dorsi, rectus abdominis).

Main Results:

  • No paradoxical respiration or post-operative mortality was observed.
  • One patient required prosthesis revision due to chest wall failure; one mesh was removed post-operatively.
  • Local recurrence occurred in one patient; five patients died from distant metastases.

Conclusions:

  • Wide resection of sternal tumors achieves good local disease control.
  • Reconstruction with mesh and musculocutaneous flaps is an effective method for managing large chest wall defects after sternal tumor resection.