Value of porous titanium alloy plates for chest wall reconstruction after resection of chest wall tumors.

Yu Qi,Xin Li,Yong Han,Song Zhao

doi:10.7314/apjcp.2014.15.11.4535

Abstract

To explore the value of porous titanium alloy plates for chest wall reconstruction after resection of chest wall tumors. A total of 8 patients with chest wall tumors admitted in our hospital from Jan. 2006 to Jan. 2009 were selected and underwent tumor resection, then chest wall repair and reconstruction with porous titanium alloy plates for massive chest wall defects. All patients completed surgery successfully with tumor resection-induced chest wall defects being 6.5 x 7 cm ~ 12 x 15.5 cm in size. Two weeks after chest wall reconstruction, only 1 patient had subcutaneous fluidify which healed itself after pressure bandaging following fluid drainage. Postoperative pathological reports showed 2 patients with costicartilage tumors, 1 with squamous cell carcinoma of lung, 1 with lung adeno-carcinoma, 1 with malignant lymphoma of chest wall, 2 with chest wall metastasis of breast cancers and 1 with chest wall neurofibrosarcoma. All patients had more than 2 ~ 5 years of follow-up, during which time 1 patient with breast cancer had surgical treatment due to local recurrence after 7 months and none had chest wall reconstruction associated complications. The mean survival time of patients with malignant tumors was (37.3 ± 5.67) months. Porous titanium alloy plates are safe and effective in the chest wall reconstruction after resection of chest tumors.

Highlights

Chest wall tumors include primary tumors from soft tissues and bones of chest walls and secondary ones like metastatic tumors and invasive tumors from adjacent organs, for which the most important therapies are large-scale resection of chest wall followed by chest wall reconstruction because of the large-scale chest wall defects, especially anterior or lateral ones (Nam et al, 2011; Fujii et al, 2014; Yoshiya et al, 2014)
Materials and Methods: A total of 8 patients with chest wall tumors admitted in our hospital from Jan. 2006 to Jan. 2009 were selected and underwent tumor resection, chest wall repair and reconstruction with porous titanium alloy plates for massive chest wall defects
All patients had firm fixation of titanium alloy plates without looseness, detachment and rejection responses, in which 1 patient with breast cancer had surgical treatment due to local recurrence marked by close adhesion of titanium alloy plates with body tissues, fulfillment of titanium alloy plate holes by granulation tissues, evident decrease of chest wall defect sizes, thickened visceral pleura and tightly closed pleural cavity after 7 months

Summary

Introduction

Chest wall tumors include primary tumors from soft tissues and bones of chest walls and secondary ones like metastatic tumors and invasive tumors from adjacent organs, for which the most important therapies are large-scale resection of chest wall followed by chest wall reconstruction because of the large-scale chest wall defects, especially anterior or lateral ones (Nam et al, 2011; Fujii et al, 2014; Yoshiya et al, 2014). In order to prevent chest wall softening or paradoxical breathing, the materials of chest wall reconstruction have always been the continuous exploring issues of physicians in Department of Thoracic Surgery. During Jan. 2006 to Jan. 2009, a total of 8 patients with chest wall defects after the resection of chest wall tumors in our hospital were treated with porous titanium alloy plates and the favorable effects were obtained

Methods

Results

Conclusion