Original articleGeneral thoracicTitanium Plates and Dualmesh: A Modern Combination for Reconstructing Very Large Chest Wall Defects
Section snippets
Material and Methods
From October 2006 to January 2010, 19 patients underwent a large chest wall resection. We employed the combination of Dualmesh and titanium plates as our procedure of choice for large thoracic wall defect reconstructions. This study was approved by our Ethics Committee, and individual consent was obtained in each cases.
In all patients, before resection, we systematically performed computed tomography scans of the thorax, abdomen, and brain; and none of these patients had extrathoracic
Results
Between 2006 and 2010, 19 patients (10 women) with a median age of 58 years (range, 34 to 72 years) with chest wall invasion from either primary or secondary chest wall tumors or T3/T4 NSCLC were treated at our institution. Histology, neoadjuvant therapy, resection quality, and tumor classification are reported in Table 1. There were 11 NSCLC patients, all of whom underwent neoadjuvant chemotherapy and preoperative radiation therapy. The tumor was classified as T4 in 8 cases, thereby meaning
Comment
Surgery represents the cornerstone of treatment in primary chest wall tumor and NSCLC with parietal involvement but no lymph node involvement (N0). The main objective of chest wall resection is to perform a radical R0 en-bloc resection. The main basis of chest wall reconstruction is summarized in the introduction according to the literature [3, 4, 5]. The importance of radical surgery is well known and has been demonstrated by many authors [1, 2, 3, 5]. Since Downey and colleagues [6] stated
References (19)
- et al.
Results of chest wall resection and reconstruction with and without rigid prosthesis
Ann Thorac Surg
(2006) - et al.
Predictors of survival in malignant tumors of the sternum
J Thorac Cardiovasc Surg
(1996) - et al.
Extent of chest wall invasion and survival in patients with lung cancer
Ann Thorac Surg
(1999) - et al.
Surgical treatment is decisive for outcome in chondrosarcoma of the chest wall
J Thorac Cardiovasc Surg
(2009) - et al.
Functional assessment of chest wall integrity after MM reconstruction
Ann Thorac Surg
(2000) - et al.
Sternal resection and reconstruction for primary malignant tumors
Ann Thorac Surg
(2004) Use of prosthetic materials in chest-wall reconstructionAssets and liabilities
Surg Clin North Am
(1989)- et al.
A novel titanium rib bridge system for chest wall reconstruction
Ann Thorac Surg
(2009) - et al.
Early and long-term results of prosthetic chest wall reconstruction
J Thorac Cardiovasc Surg
(1999)
Cited by (59)
The use of noble metal coatings and nanoparticles for the modification of medical implant materials
2021, Materials and DesignRepair of huge thoracic defect combined with hernia after multimodality treatment of breast cancer
2021, Respiratory Medicine Case ReportsCommentary: Rigid Chest Wall Reconstruction—Innovation With Functional Improvements
2020, Seminars in Thoracic and Cardiovascular SurgeryThe application of three-dimensional custom-made prostheses in chest wall reconstruction after oncologic sternal resection
2024, Journal of Surgical OncologyEarly Outcomes of the Bird-cage Chest Wall Reconstruction in the Philippine General Hospital
2023, Acta Medica Philippina