多重片转移用于软组织肉瘤多次局部复发.
Ryo Karakawa1, Hidehiko Yoshimatsu1, Yuma Fuse1
1Department of Plastic and Reconstructive Surgery, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo 135-8550, Japan.
Medicina (Kaunas, Lithuania)
|August 26, 2023
概括
多重片重建是可行的治疗复发性软组织肉瘤 (STS). 外科医生应该仔细选择片,考虑到复发的高风险和未来干预的需要.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 重建性手术是一种重建性手术.
背景情况:
- 软组织肉瘤 (STS) 局部复发的手术管理存在重大挑战.
- 多个局部复发需要复杂的重建策略.
研究的目的:
- 报告STS多个局部复发的多个重建的可行性.
- 通过临床病例检查来验证这些程序的有效性.
主要方法:
- 针对复发性STS (1997年4月至2021年10月) 进行多次片重建的患者的回顾性研究.
- 对患者人口统计,瘤特征,手术细节和术后结果的分析.
- 包括8名20次手术的患者,重点关注缺陷和片大小,组织学诊断和并发症率.
主要成果:
- 分析了8名患者的20次手术,这些手术的缺陷位于背部,部,沟和下肢.
- 每名患者的平均宽切除是4.0,平均片重建是2.5个.
- 在初级手术 (25%,25%,12.5%) 中,并发症率 (回收,翻盖,捐赠部位) 与随后的手术 (0%,0%,16.7%) 相比较高,之前的翻盖在后期手术中需要切除的比例为50%.
结论:
- 多重宽切除和随后的重建是管理STS多个局部复发的可行方法.
- 重建外科医生必须考虑未来复发的可能性,在为高风险瘤选择片选项时.
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