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Rudenko M.S.

Sverdlovsk Regional Oncology Dispensary;
Ural State Medical University

Pushkin S.Yu.

Samara State Medical University

Magdalyanova M.I.

Sverdlovsk Regional Oncology Dispensary

Kamenev R.O.

Sverdlovsk Regional Oncology Dispensary

Eliseeva A.P.

Sverdlovsk Regional Oncology Dispensary

Gusev D.A.

Sverdlovsk Regional Oncology Dispensary

Chest wall repair after extensive resections

Authors:

Rudenko M.S., Pushkin S.Yu., Magdalyanova M.I., Kamenev R.O., Eliseeva A.P., Gusev D.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2023;(10): 60‑70

DOI: 10.17116/hirurgia202310160

Read: 1803 times

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Table of contents

CHEST WALL REPAIR AFTER EXTENSIVE RESECTIONS
CHEST WALL REPAIR AFTER EXTENSIVE RESECTIONS

To cite this article:

Rudenko MS, Pushkin SYu, Magdalyanova MI, Kamenev RO, Eliseeva AP, Gusev DA. Chest wall repair after extensive resections. Pirogov Russian Journal of Surgery. 2023;(10):60‑70. (In Russ.)
https://doi.org/10.17116/hirurgia202310160

 
Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Recommended articles:
Prediction of respiratory complications after exte­nsive chest wall rese­ctions. Piro­gov Russian Journal of Surgery. 2025;(12):14-22
Abstract:

OBJECTIVE

To analyze the outcomes after different methods of post-resection chest wall defect reconstruction.

MATERIAL AND METHODS

The study included 41 patients aged 22—73 years who underwent chest wall repair with local tissues and synthetic materials. Twelve (29.3±7.1%) patients had sarcoma, 9 (21.9±5.9%) — non-small cell lung cancer (NSCLC) with invasion of the chest, 9 (21.9±5.9%) — metastatic lesions, 8 (19.5±6.2%) — benign tumors, 2 (4.8±3.4%) — breast cancer with invasion of the chest wall, 1 (2.4±2.4%) — desmoid tumor. Seven patients were diagnosed with T3N0M0, 1 — T3N2M0, 1 — T2N0M1b (oss). Among patients with NSCLC with invasion into the chest wall, squamous cell cancer was verified in 4 (44.4±16.6%) patients, adenocarcinoma — in 4 (44.4±16.6%), neuroendocrine tumor — in 1 (11.2±10.5%) patient. Stages of surgeries are presented.

RESULTS

We analyzed treatment outcomes in 41 patients. Five (12.2%) patients had seroma, hemothorax, thoracopleural fistula, subcutaneous emphysema and fatal asystole. There were no postoperative complications associated with paradoxical breathing.

CONCLUSION

Accurate morphological verification prior to treatment is valuable to determine the stages of combined treatment of chest wall tumors. Chest wall defect closure with own tissues and synthetic materials is necessary after extensive resections. A multidisciplinary approach involving thoracic and plastic surgeons is needed.

Keywords:

chest reconstruction
postresection defect replacement
sternum resection
rib resection
chest wall tumor

Authors:

Rudenko M.S.

Sverdlovsk Regional Oncology Dispensary;
Ural State Medical University

Pushkin S.Yu.

Samara State Medical University

Magdalyanova M.I.

Sverdlovsk Regional Oncology Dispensary

Kamenev R.O.

Sverdlovsk Regional Oncology Dispensary

Eliseeva A.P.

Sverdlovsk Regional Oncology Dispensary

Gusev D.A.

Sverdlovsk Regional Oncology Dispensary

Received:

12.03.2023

Accepted:

11.04.2023

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