title: [Resection and reconstruction of sternum].
abstract: We have experienced 6 cases with resection and reconstruction of sternum. They were 1 with osteosarcoma, 1 with synovial sarcoma, 1 with sternal metastasis of fallopian tube cancer, 1 with sternal metastasis of thyroid cancer, 1 with desmoid tumor, and 1 with dermatofibrosarcoma protuberance. Resection of both manubrium and sternum was performed in 3 cases and sternum resection in 3. There was no total resection. We used a titanium reconstruction plate and titanium mesh in 3 cases, a titanium reconstruction plate and polypropylene mesh in 2, titanium mesh in 1 for reconstruction of bony defect, and rectus abdominis myocutaneous flap in 3, pectralis major muscle flap in 2, latissimus doris myocutaneous flap in 1 for reconstruction of soft tissue defect. Postoperative courses were uneventful, and flail chest was not observed. Reconstruction of the bony defect of the anterior chest wall with the titanium reconstruction plate and titanium mesh or polypropylene mesh was effective by providing sufficient rigidity as well as protection of the thoracic organs.
authors.affiliation: Department of General Thoracic Surgery, Keio University School of Medicine, Tokyo, Japan.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Okui
authors.forename: Mitsutomo
authors.initials: M
authors.lastname: Kohno
authors.forename: Takao
authors.initials: T
authors.lastname: Shigenobu
authors.forename: Tai
authors.initials: T
authors.lastname: Hato
authors.forename: Ikuo
authors.initials: I
authors.lastname: Kamiyama
authors.forename: Taichiro
authors.initials: T
authors.lastname: Goto
authors.forename: Takashi
authors.initials: T
authors.lastname: Ohtsuka
authors.forename: Hirohisa
authors.initials: H
authors.lastname: Horinouchi
mesh_terms: D000328:Adult; D000368:Aged; D001859:Bone Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013249:Sternum / Q000601:surgery*; D013524:Surgical Flaps; D013899:Thoracic Neoplasms / Q000601:surgery