Radical surgery of lung cancer with chest wall invasion and reliable methods of chest wall reconstruction
10.3760/cma.j.issn.1671-0290.2011.02.004
- VernacularTitle:肺癌根治术后胸壁缺损重建方法的探讨
- Author:
Xiang ZHUANG
;
Zhaohui WANG
;
Qiang LI
;
Yangchun XIE
- Publication Type:Journal Article
- Keywords:
Lung cancer;
Chest wall;
Reconstruction
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2011;17(2):92-94
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the efficacy of radical surgery for the invasion of chest wall by lung cancers and the different methods of chest wall reconstruction. Methods A retrospective analysis of clinical data was conducted in 27 cases of lung cancer with chest wall invasion in this hospital. 24 cases received lobectomy, 3 cases received pneumonectomy, and all cases received wall reconstruction. The size of chest wall defect after resection ranged from 6.5 cm × 5.4 cm × 5.0 cm to 15.5 cm × 12.5 cm ×10.0 cm. The number of rib resection for each patient ranged from 1 to 4. The reconstructive methods were as follows: using polyester fabric to reconstruct costal pleura, using plexiglass, stainless steel wire and grid-like titanium plate to reconstruct bone defect, and using nearby muscle flap and pedunculated muscle flap to reconstruct muscle defect. Results Pathologic diagnosis was non-small cell lung cancer,including 22 cases of squamous cell carcinomas and 5 adenocarcinomas. There were pulmonary infections in 6 cases, chest hemorrhage in 1 case and chest purulence in 1 case. One-year survival was 77. 9 %,3-yearsurvival was 58.3 %, and 5-year survival was 29. 1 %. Conclusion The lung cancer with chest wall invasion is advisable to make active use of radical surgery. The different methods and repair materials are chosen to reconstruct the chest wall defect, supplemented by comprehensive treatments.
