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Revista Colombiana de Cirugía

Print version ISSN 2011-7582On-line version ISSN 2619-6107

Abstract

ZAPATA, Ricardo Adolfo; MONTOYA-MEDINA, Camilo; VELEZ-CASTANO, Paula Andrea  and  BEDOYA-MUNOZ, Lennis. Reconstruction of the chest wall with fixation in patients with tumor lesions. Case series. rev. colomb. cir. [online]. 2021, vol.36, n.1, pp.66-73.  Epub Apr 30, 2021. ISSN 2011-7582.  https://doi.org/10.30944/20117582.545.

Introduction.

Surgical management of chest wall lesions with resection and reconstruction with prosthetic material has been increasing, due to advances in surgical techniques and surgeon’s experience, as well as innovation and characteristics of prosthetic materials. They allow wide resections of the wall, guaranteeing greater skeletal stability, less alteration of respiratory mechanics, and better aesthetic results.

Methods.

The experience in the CardioVID clinic, Medellín, Colombia, between the years 2015 and 2019, is presented through a retrospective review of eight cases that underwent resection of benign lesions of the chest wall and reconstruction with prosthetic material.

Results.

An adequate evolution of the patients was found, with a good aesthetic and functional result, with adequate control of the disease, without reports of complications or recurrence in follow-up.

Discussion.

An adequate technique allows the reconstruction of these defects with minimal complications and low prosthesis extraction rates, ending with excellent functional and cosmetic results. With our experience, we can conclude that the proper choice of patients who are good candidates for surgical management, a good surgical technique, and an experienced staff are crucial to achieve good results in terms of lung function and aesthetics results, in addition to obtain survival under the established parameters after achieving an R0 resection.

Keywords : thoracic wall; neoplasms; thoracic surgery; reconstruction; prostheses and implants; titanium.

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