title: [Chest Wall Reconstruction Using Titanium Plates Sandwiched Between Sheets after Resection of Chest Wall Chondrosarcoma].
abstract: Extensive chest wall resection carries the risk of difficult reconstruction and surgical complications. We report our experience on chest wall reconstruction using titanium plates for a wide thoracic defect after tumor resection. A 74-year-old man was diagnosed with chondrosarcoma of the 6th rib on the right. He needed extensive chest wall resection because of skip lesions on 4th rib noted on operative inspection, leaving a defect measuring 33 × 20 cm. Reconstruction using 5 transverse titanium plates sandwiched between an expanded polytetrafluoroethylene patch and a polypropylene mesh sheet stabilized the chest wall. This reconstruction allowed successful separation from ventilatory support after operation. The postoperative course was uneventful, and he was discharged on postoperative day 20. The advantages of this form of reconstruction over conventional prostheses are rigidity, and stability and usability.
authors.affiliation: Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Endoh
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Oizumi
authors.forename: Hirohisa
authors.initials: H
authors.lastname: Kato
authors.forename: Jun
authors.initials: J
authors.lastname: Suzuki
authors.forename: Hikaru
authors.initials: H
authors.lastname: Watarai
authors.forename: Akira
authors.initials: A
authors.lastname: Hamada
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Suzuki
authors.forename: Ai
authors.initials: A
authors.lastname: Takahashi
authors.forename: Kenta
authors.initials: K
authors.lastname: Nakahashi
authors.forename: Masato
authors.initials: M
authors.lastname: Sugawara
authors.forename: Takashi
authors.initials: T
authors.lastname: Tsuchiya
authors.forename: Mitsuaki
authors.initials: M
authors.lastname: Sadahiro
mesh_terms: D000368:Aged; D001860:Bone Plates; D002813:Chondrosarcoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D013899:Thoracic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D019616:Thoracic Surgical Procedures / Q000379:methods*; D035441:Thoracic Wall / Q000601:surgery*; D014025:Titanium; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D014025:Titanium