2008, Número 1
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Rev Inst Nal Enf Resp Mex 2008; 21 (1)
Reconstrucción de grandes defectos de la pared torácica
Andrade-Alegre R, Jiménez C, Latorraca SJ
Idioma: Español
Referencias bibliográficas: 14
Paginas: 22-25
Archivo PDF: 99.77 Kb.
RESUMEN
Los grandes tumores de la pared torácica requieren de resecciones amplias; la reconstrucción debe mantener la estabilidad de la pared torácica para evitar complicaciones respiratorias.
Se presenta el caso de un paciente de 53 años a quien se resecó condrosarcoma gigante de la pared torácica. La pared se reconstruyó con metilmetacrilato incorporado entre dos mallas de polipropileno (prótesis en sándwich). Doce meses después los resultados oncológico, anatómico, funcional y cosmético siguen siendo satisfactorios.
REFERENCIAS (EN ESTE ARTÍCULO)
Pairolero PC, Arnold PG. Chest wall reconstruction. Ann Thorac Surg 1981;32:325-326.
Deschamps C, Tirnaksiz BM, Darbandi R, et al. Early and long-term results of prosthetic chest wall reconstruction. J Thorac Cardiovasc Surg 1999;117:588-591.
Yoshino N, Yamauchi S, Akimoto M, Hisayoshi T, Koizumi K, Shimizu K. A case report on a full-thickness chest wall reconstruction with polypropylene mesh and stainless steel mesh concurrently using a transverse rectus abdominis myocutaneous flap. Ann Thorac Cardiovasc Surg 2006;12:445-448.
McCormack PM. Use of prosthetic materials in chest-wall reconstruction. Assets and liabilities. Surg Clin North Am 1989;69:965-976.
Mansour KA, Thourani VH, Losken A, et al. Chest wall resections and reconstruction: a 25-year experience. Ann Thorac Surg 2002;73:1720-1726.
McCormack P, Bains MS, Beattie EJ Jr, Martini N. New trends in skeletal reconstruction after resection of chest wall tumors. Ann Thorac Surg 1981;31:45-52.
McKenna RJ Jr, Mountain CF, McMurtrey MJ, Larson D, Stiles QR. Current techniques for chest wall reconstruction: expanded possibilities for treatment. Ann Thorac Surg 1988;46:508-512.
Sabanathan S, Shah R, Mearns AJ. Surgical treatment of primary malignant chest wall tumors. Eur J Cardiothorac Surg 1997;11:1011-1016.
Lardinois D, Müller M, Furrer M, et al. Functional assessment of chest wall integrity after methylmethacrylate reconstruction. Ann Thorac Surg 2000;69: 919-923.
Gimferrer JM, Belda J, Catalán M, Callejas MA, Canalis E, Serra M. Experiencia en el tratamiento quirúrgico de los tumores primarios malignos de la pared torácica. Cir Esp 2003;73:110-113.
Tanaka H, Yukioka T, Yamaguti Y, et al. Surgical stabilization of internal pneumatic stabilization? A prospective randomized study of management of severe flail chest patients. J Trauma 2002;52:727-732.
Weyant MJ, Bains MS, Venkatraman E, et al. Results of chest wall resection and reconstruction with and without rigid prosthesis. Ann Thorac Surg 2006; 81:279-285.
Incarbone M, Pastorino U. Surgical treatment of chest wall tumors. World J Surg 2001;25:218-230.
Rocco G, Fazioli F, Scognamiglio F, et al. The combination of multiple materials in the creation of an artificial anterior chest cage after extensive demolition for recurrent chondrosarcoma. J Thorac Cardiovasc Surg 2007;133:1112-1114.