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Updated: Feb 5, 2026
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Robot-Assisted Radical Antegrade Modular Pancreatosplenectomy Including Resection and Reconstruction of the Spleno-Mesenteric Junction
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Sternal resection and reconstruction for secondary malignancies
Wojciech Dudek1, Waldemar Schreiner1, Raymund E Horch2
1Department of Thoracic Surgery, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Journal of Thoracic Disease
|September 4, 2018
Summary
Surgical resection of secondary sternal tumors (SSTs) shows low perioperative risk. While complete tumor removal is ideal, it does not guarantee improved survival, suggesting palliative options for select patients.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Malignancy Research
Background:
- Limited data exists on sternal and/or anterior chest wall resections for secondary malignancies.
- Secondary sternal tumors (SSTs) pose unique surgical challenges.
Purpose of the Study:
- To evaluate perioperative outcomes of sternal and/or anterior chest wall resections for SSTs.
- To analyze postoperative overall survival (OS) in patients undergoing these resections.
Main Methods:
- Retrospective analysis of patients undergoing SST resection from 2000-2016.
- Overall survival (OS) estimated using the Kaplan-Meier method.
Main Results:
- Ten patients underwent resection for SSTs (70% curative, 30% palliative intent).
- No perioperative deaths occurred; 30% experienced major complications.
- The 5-year OS rate was 40%, with no significant difference between R0 and R1 resections.
Conclusions:
- Sternal and/or anterior chest wall resections for SSTs can be performed with acceptable morbidity and mortality.
- Complete resection does not guarantee favorable overall survival.
- Sternal resection is a viable palliative option for stable stage IV disease with isolated sternal involvement.
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