Mid-Term Outcomes of Titanium Plate Reconstruction for Lung Cancer Requiring Chest Wall Resection
Ryu Kanzaki1, Shuhei Kobayashi1, Daiki Hayashi1
1Department of General Thoracic Surgery, NHO Kinki Chuo Chest Medical Center, Sakai, Japan.
Summary
Titanium plate reconstruction for non-small cell lung cancer (NSCLC) with chest wall invasion offers durable mid-term structural stability. This technique provides acceptable outcomes for selected patients undergoing extensive resection.
Area of Science:
- Thoracic surgery
- Surgical oncology
- Biomaterials in reconstruction
Background:
- Chest wall resection for non-small cell lung cancer (NSCLC) with invasion is complex.
- Titanium devices are used, but NSCLC-specific outcomes are limited.
Purpose of the Study:
- Evaluate short- and mid-term outcomes of titanium plate reconstruction for NSCLC.
- Assess structural stability and oncologic results.
Main Methods:
- Retrospective review of 16 NSCLC patients undergoing en bloc resection and titanium plate reconstruction.
- Analysis of complications, late events, and oncologic outcomes.
Main Results:
- 94% R0 resection achieved; 56% experienced 30-day complications (mainly pulmonary).
- Median follow-up 24 months; 2 late complications (hematoma, empyema).
- 5-year recurrence-free survival 35%, overall survival 63%.
Conclusions:
- Titanium plate reconstruction allows extensive resection for NSCLC with chest wall invasion.
- Provides mid-term structural stability and acceptable outcomes with proper patient selection.
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