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在切除下肢肉瘤后进行血管重建的非逆向大沙芬静脉移植

Masaki Arikawa¹, Satoshi Akazawa², Daisuke Kageyama²

¹Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Tokyo, Japan; Course of Advanced Clinical Research of Cancer, Juntendo University Graduate School of Medicine, Tokyo, Japan.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS

|August 15, 2024

概括

不逆向的大沙静脉 (GSV) 移植,利用膜瘤,在肉瘤手术中表现出高穿透率和肢体挽救率. 这种技术为逆转GSV移植提供了一个安全的替代方案,最大限度地减少直径不匹配.

科学领域:

这是血管外科手术.
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:

逆向大阴静脉 (GSV) 移植是涉及主要血管的肢体储存肉瘤手术的标准.
移植口径与宿主动脉不匹配可能会损害穿透性.
静脉瘤可以实现非逆转的GSV移植.

研究的目的:

为了评估非逆转GSV移植的安全性和多功能性,使用静脉瘤.
为了比较长期的结果与传统的逆转GSV移植在肉瘤患者.

主要方法:

对37名因肉瘤而接受肢体挽救手术的患者进行了回顾性比较.
21名患者接受了非逆转的GSV移植,16人接受了逆转的GSV移植.
通过对比度增强的CT/MRI评估血管通透度;审查肢体救援和并发症.

主要成果:

随访时间中位数为38个月.
非逆转的GSV的移植通透率为90.4%,逆转的GSV为81.2%.
所有四肢都得以挽救,血液循环完好,尽管在非逆转组中罕见的急性/慢性闭塞.

结论:

不逆转GSV移植用膜瘤是一种安全和多功能选择,用于节约四肢的肉瘤手术.
这种技术避免了静脉逆转,并减少了直径不匹配.
在复杂的病例中,它可能会扩大对自重血管化的资格.

关键词:

动脉的重建动脉的重建大石静脉的大石静脉肢体的救援工作这种类型的肉瘤是sarcoma.静脉膜瘤是一种静脉膜瘤

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