title: Arena Roof Technique for Complex Reconstruction After Extensive Chest Wall Resection.
abstract: Extensive primary resections or redos may produce significant chest wall defects requiring creative reconstructions in order to avoid reduction of the intrathoracic volume. We describe the successful use of an innovative technique for chest wall reconstruction based on the concept of roof coverage of sport arenas. In fact, titanium plates are anchored to the residual rib stumps along the parasternal and paravertebral lines. The acellular collagen matrix prosthesis was sutured to the free edges of the same titanium plates to create a roof, reproducing the chest wall dome geometric configuration. A 36-year-old female patient was diagnosed with an extensive desmoid tumor involving the lateral segments of second to fifth ribs on the right side. The arena roof technique allowed for adequate expansion of the uninvolved lung and optimal chest wall functional recovery.
authors.affiliation: Division of Thoracic Surgery, Department of Thoracic Surgical and Medical Oncology, National Cancer Institute, Pascale Foundation, IRCCS, Naples, Italy. Electronic address: g.rocco@istitutotumori.na.it.
authors.forename: Gaetano
authors.initials: G
authors.lastname: Rocco
authors.affiliation: Division of Thoracic Surgery, Department of Thoracic Surgical and Medical Oncology, National Cancer Institute, Pascale Foundation, IRCCS, Naples, Italy.
authors.forename: Antonello
authors.initials: A
authors.lastname: La Rocca
authors.affiliation: Division of Thoracic Surgery, Department of Thoracic Surgical and Medical Oncology, National Cancer Institute, Pascale Foundation, IRCCS, Naples, Italy.
authors.forename: Carmine
authors.initials: C
authors.lastname: La Manna
authors.affiliation: Division of Thoracic Surgery, Department of Thoracic Surgical and Medical Oncology, National Cancer Institute, Pascale Foundation, IRCCS, Naples, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Martucci
authors.affiliation: Division of Thoracic Surgery, Department of Thoracic Surgical and Medical Oncology, National Cancer Institute, Pascale Foundation, IRCCS, Naples, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: De Luca
authors.affiliation: Division of Anesthesiology, National Cancer Institute, Pascale Foundation, IRCCS, Naples, Italy.
authors.forename: Rosanna
authors.initials: R
authors.lastname: Accardo
mesh_terms: D000328:Adult; D001859:Bone Neoplasms / Q000601:surgery; D001860:Bone Plates; D005260:Female; D018222:Desmoid Tumors / Q000601:surgery; D006801:Humans; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures / Q000379:methods; D012272:Ribs / Q000601:surgery*; D019616:Thoracic Surgical Procedures / Q000379:methods; D035441:Thoracic Wall / Q000601:surgery*; D014025:Titanium
chemical_list: D014025:Titanium