کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5718162 1411243 2017 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Original ArticleThoracic wall reconstruction with bioabsorbable plates in pediatric malignant thoracic wall tumors
ترجمه فارسی عنوان
بازسازی دیواره مقاله ایجابگردان با صفحات زیستی قابل جذب در تومورهای دیواره ی سلول های بدخیم اطفال
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

AimChildhood malignant chest wall tumors may require extensive surgical resection and reconstruction with musculoskeletal flaps or non-resorbable prosthetic materials. Implant-related complications and scoliosis often occur. This study analyzes the outcomes of chest wall reconstruction using resorbable plates as an alternative approach.MethodsRetrospective review (2007-2015) of patients who underwent resection of malignant primary chest wall tumors in 2 tertiary pediatric centers. Reconstruction was performed using copolymer (l-lactic and glycolic acid) plates, fixed to the ribs and surrounding structures with copolymer screws and/or polyglactin sutures.ResultsEight patients aged 10.6 + 2.6 years were treated. There were no operative complications, and implant removal was not required in any case. Six patients received postoperative radiotherapy. Over follow-up (39.6 months, range 9.4-78), chest wall shape was maintained in all, and there were no radiological artifacts. Three patients developed scoliosis (Cobb 17°-33°), but treatment was needed only in one, who had undergone hemivertebrectomy. There were no cases of local tumor relapse. One patient died because of metastatic spread.ConclusionsImplantation of bioabsorbable l-lactic and glycolic acid copolymer plates with a relatively simple technique provided a rigid, stable reconstruction with only mild mid-/long-term complications. Resorbable plates may be a good alternative for pediatric chest wall reconstruction.Level of evidence: IV.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 52, Issue 3, March 2017, Pages 377-381
نویسندگان
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