Chest wall resection and reconstruction for tumors: analysis of oncological and functional outcome

Journal of Thoracic Disease
Elisa ScarnecchiaJacopo Vannucci

Abstract

Tumors of the chest wall have a large spectrum of well-assessed indications for resection. However, whether a reconstruction is required or not is not always clear. Complications after chest wall resection and reconstruction (CWRR) are described in literature and potentially severe. There is no evidence of how non-reconstructive management may influence the post-operative complication rate. A total of 71 patients underwent thoracic demolition for tumors between April 2000 and October 2016. The patients were divided into two groups based on pathological findings: group 1: primary chest wall tumors; group 2: non-small cell lung cancer (NSCLC) invading the thoracic wall. They were then retrospectively analyzed by means of following criteria: TNM staging, histology, infiltration depth, 5-year survival, overall survival (OS), disease-free survival (DFS), relapse rate, R-0 resection, number of resected ribs, site of surgical resection and post-operative respiratory complications, flail chest, chronic pain, deformity of the chest wall and cosmetic results. Five-year survival, OS, DFS and risk of relapse showed a significant correlation with the presence of free surgical margins in both groups. In group 2, another parameter which corre...Continue Reading

Citations

May 13, 2019·BMJ Case Reports·Thanapoom BoonipatHung-Chi Chen
Aug 28, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Iain McPhersonMohammed Asif
Feb 4, 2021·Interactive Cardiovascular and Thoracic Surgery·Elena PrisciandaroMatthieu Thumerel
Apr 16, 2020·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·T P CrowleyM Ragbir
Jan 15, 2021·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Benedict DharmarajNormala Haji Basiron
Sep 5, 2020·Surgical Oncology Clinics of North America·Nathan W MeskoDaniel P Raymond

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