초록접수 현황
| 17F-215 | 포스터 발표 |
Two-third Chest Wall Resection of Right Thorax and Chest Wall Reconstruction using Sun-shield Technique in Recurred Myxofibrosarcoma Patient underwent Three-times Chest Wall Resections
Yong Ho Jeong¹, Eun Key Kim², Han Pil Lee¹, Yong-Hee Kim¹
¹Department of Thoracic & Cardiovascular Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Republic of Korea., ²Department of Plastic Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Republic of Korea
Purpose : Chest wall tumor is not a common disease. Although various operative methods are present, there is no consensus for an optimal method. We present a method that could be used for wide resection of chest wall and reconstruction.
Methods : Sixty-two years old male with recurred myxofibrosarcoma and previous history of three excision operations returned after another recurrence. Chest wall mass was huge and there seemed to be some abutting to the liver and diaphragm. Chest wall was resected from the 5th rib to 11th rib. Right lower lung lobe densely adhered to the chest wall, and wedge resection was performed. Rib cage was reconstructed using 2 steel bars. Two steel bars were stabilized using Sun-Shield technique that bars were anchored to 4th rib and diaphragm simultaneously. Extracellular matrix patch was applied over steel bars and covered with multiple musculocutaneous flaps.
Results : The postoperative course was uneventful. Patient was discharged without any respiratory complication including atelectasis.
Conclusion : The Sun-Shield technique may maintain natural curvature of rib cages and improve respiratory movement of thorax, and prevent passive collapse of lung.
Methods : Sixty-two years old male with recurred myxofibrosarcoma and previous history of three excision operations returned after another recurrence. Chest wall mass was huge and there seemed to be some abutting to the liver and diaphragm. Chest wall was resected from the 5th rib to 11th rib. Right lower lung lobe densely adhered to the chest wall, and wedge resection was performed. Rib cage was reconstructed using 2 steel bars. Two steel bars were stabilized using Sun-Shield technique that bars were anchored to 4th rib and diaphragm simultaneously. Extracellular matrix patch was applied over steel bars and covered with multiple musculocutaneous flaps.
Results : The postoperative course was uneventful. Patient was discharged without any respiratory complication including atelectasis.
Conclusion : The Sun-Shield technique may maintain natural curvature of rib cages and improve respiratory movement of thorax, and prevent passive collapse of lung.
책임저자: Yong-Hee Kim
Department of Thoracic & Cardiovascular Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Republic of Korea
발표자: Yong Ho Jeong, E-mail : fauntleroy@naver.com