New perspectives in prosthetic reconstruction in chest wall resection

Duranti, Leonardo; Tavecchio, Luca

doi:10.1007/s13304-023-01562-z

Cited by 3 publications

(3 citation statements)

References 71 publications

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“…Chest wall reconstruction has evolved into a field that can be both simple and complex, where patient-specific aspects are prominent and various procedures are applied concurrently with technological advancements. [ 5 ] In this study, we aimed to offer our experiences in wide chest wall resection and reconstruction compared with other primary closures of the chest wall defect.…”

Section: Introductionmentioning

confidence: 99%

“…[3,4] The optimum material for rigid chest wall reconstruction should be easily shaped and applied, provide enough rigidity while avoiding paradoxical breathing, allow tissue growth, have good tissue compatibility, and not cause a foreign body reaction. [1,4,5] Synthetic materials used in rigid reconstruction include double mesh methyl methacrylate, titanium plates, titanium mesh, and polypropylene-polyester denim prostheses. Chest wall reconstruction has evolved into a field that can be both simple and complex, where patient-specific aspects are prominent and various procedures are applied concurrently with technological advancements.…”

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confidence: 99%

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Should wide chest wall resections and reconstruction intimidate thoracic surgeons?

Kavaklı,

Işık,

Şengül İnan

et al. 2024

Turk Gogus Kalp Dama

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Background: This study aimed to compare patients in whom wide chest wall resection and reconstruction or primary closure was performed. Methods: A total of 63 patients who underwent chest wall resection and reconstruction between January 2018 and December 2022 were included in the retrospective study. The patients were divided into two groups: the first group, which included 31 patients (14 males, 17 females; mean age: 44.6±16.4 years; range, 16 to 71 years) who were closed primarily, and the second group, constituting 32 patients (25 males, 7 females; mean age: 54.6±17.2 years; range, 9 to 80 years) who underwent reconstruction with plates and meshes. Results: There was no significant difference between the two groups in terms of smoking and diabetes. Primary chest wall or metastatic tumor was determined in 33 patients; benign tumor and trauma were determined in 30 patients. The difference between the two groups in mean defect diameter (p=0.009), mean number of plates used (p<0.001), and mean hospital stay (p<0.001) was statistically significant. However, there was no significant difference in terms of complications (p=0.426). Conclusion: Wide chest wall resection and reconstruction is a safe and feasible surgical procedure when compared with primary closure.

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Section: Introductionmentioning

confidence: 99%

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confidence: 99%

Should wide chest wall resections and reconstruction intimidate thoracic surgeons?

Kavaklı,

Işık,

Şengül İnan

et al. 2024

Turk Gogus Kalp Dama

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“…Chest wall tumours, including those at the sternum level, account for 5% of all thoracic tumours, and are regarded as challenging conditions that require early recognition and a multitude of surgical approaches for diagnosis through biopsy and resection in order to provide a good cancer-associated outcome [ 1 , 2 , 3 , 4 , 5 , 6 ]. So far, related statistical evidence is based on small sample studies; a recent expert consensus with regard to their resection and consecutive chest wall reconstruction was released in 2021 [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Sternum Metastases: From Case-Identifying Strategy to Multidisciplinary Management

Carsote,

Terzea,

Vasilescu

et al. 2023

Diagnostics

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We aimed to overview the most recent data on sternal metastases from a multidisciplinary approach (diagnosis strategies, outcome, and histological reports). This narrative review based on a PubMed search (between January 2020 and 22 July 2023) using key words such as “sternal”, “manubrium”, and “metastasis” within the title and/or abstract only included original papers that specifically addressed secondary sternal spreading of cancer in adults, for a total of 48 original articles (14 studies and 34 single case reports). A prior unpublished case in point is also introduced (percutaneous incisional biopsy was used to address a 10 cm sternal tumour upon first admission on an apparently healthy male). The studies (n = 14) may be classified into one of three groups: studies addressing the incidence of bone metastases (including sternum) amid different primary cancers, such as prostate cancer (N = 122 with bone metastases, 83% of them with chest wall metastases), head and neck cancers (N = 3620, 0.8% with bone metastases, and 10.34% of this subgroup with sternum involvement); and glioblastoma (N = 92 with bone metastases, 37% of them with non-vertebral metastases, including the sternum); assessment cohorts, including breast cancer (N = 410; accuracy and sensitivity of PET/CT vs. bone scintigraphy is superior with concern to sternum spreading) and bone metastases of unknown origin (N = 83, including a subgroup with sternum metastases; some features of PET/CT help the differentiation with multiple myeloma); and cohorts with various therapeutic approaches, such as palliative arterial embolization (N = 10), thymic neuroendocrine neoplasia (1/5 detected with sternum metastases), survival rates for sternum metastases vs. non-sternum chest wall involvement (N = 87), oligo-metastatic (sternal) breast cancer (3 studies, N = 16 for all of them), oligo-metastatic head and neck cancer (N = 81), conformal radiotherapy (N = 24,215, including an analysis on sternum spreading), and EBRT followed by MR-HIFU (N = 6). Core data coming from the isolated case reports (N = 34) showed a female to male ratio of 1.6; the females’ ages were between 34 and 80 (mean of 57.28) and the males’ ages varied between 33 and 79 (average of 58.78) years. The originating tumour profile revealed that the most frequent types were mammary (N = 8, all females) and thyroid (N = 9, both women and men), followed by bladder (N = 3), lung (N = 2), and kidney (N = 2). There was also one case for each of the following: adenoid cystic carcinoma of the jaw, malignant melanoma, caecum MiNEN, a brain and an extracranial meningioma, tongue carcinoma, cholangiocarcinoma, osteosarcoma, and hepatocellular carcinoma. To our knowledge, this is the most complex and the largest analysis of prior published data within the time frame of our methods. These data open up new perspectives of this intricate, dynamic, and challenging domain of sternum metastases. Awareness is a mandatory factor since the patients may have a complex multidisciplinary medical and/or surgical background or they are admitted for the first time with this condition; thus, the convolute puzzle will start from this newly detected sternal lump. Abbreviations: N = number of patients; n = number of studies; PET/CT = positron emission tomography/computed tomography; EVRT = external beam radiotherapy; MR-HIFU = magnetic resonance-guided high-intensity focused ultrasound; MiNEN = mixed neuroendocrine-non-neuroendocrine tumour.

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Transmanubrial osteomuscular sparing approach: different indications for non-pulmonary malignancies

Duranti,

Tavecchio

2024

Updates Surg

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New perspectives in prosthetic reconstruction in chest wall resection

Cited by 3 publications

References 71 publications

Should wide chest wall resections and reconstruction intimidate thoracic surgeons?

Should wide chest wall resections and reconstruction intimidate thoracic surgeons?

Sternum Metastases: From Case-Identifying Strategy to Multidisciplinary Management

Transmanubrial osteomuscular sparing approach: different indications for non-pulmonary malignancies

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