Results of non-rigid prosthetic reconstruction with expanded polytetrafluoro-ethylene( ePTFE) soft tissue patch following chest wall resection for malignant tumors

Twenty patients underwent chest wall reconstruction using expanded polytetrafluoroethylene(ePTFE) soft tissue patch following resection between June 1996 and December 2012. The patients included 15 men and 5 women, aged 18 to 80 years. The indications for resection included 4 primary tumors, 8 metas...

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Published inKyobu geka. The Japanese journal of thoracic surgery Vol. 67; no. 1; p. 49
Main Authors Tsushima, Takao, Kowatari, Ryosuke, Kimura, Daisuke, Sakai, Takehiro, Hatanaka, Ryo, Yamada, Yoshitsugu, Minakawa, Masahito, Fukuda, Ikuo
Format Journal Article
LanguageJapanese
Published Japan 01.01.2014
Subjects
Adolescent
Adult
Aged
Aged, 80 and over
Female
Humans
Male
Middle Aged
Polytetrafluoroethylene - therapeutic use
Reconstructive Surgical Procedures - instrumentation
Thoracic Neoplasms - surgery
Thoracic Wall - surgery
Treatment Outcome
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Summary:Twenty patients underwent chest wall reconstruction using expanded polytetrafluoroethylene(ePTFE) soft tissue patch following resection between June 1996 and December 2012. The patients included 15 men and 5 women, aged 18 to 80 years. The indications for resection included 4 primary tumors, 8 metastatic tumors, and 8 infiltrating tumors. The lesions were located anteriorly in 10 patients, laterally in 5 patients and posteriorly in 5 patients. Skeletal resection involved an average of 2 ribs in 19 patients, and a partial sternectomy in 1 patient. The size of chest wall defects ranged from 20 to 210 cm2( mean, 69.8 cm2). Lung resection was performed in 7 patients included a wedge resection, 5 lobectomy, and a bilobectomy. Chest wall defects were closed primarily with ePTFE soft tissue patch. There were no critical complications or postoperative mortalities. The mean follow-up in all patients is 72.7 months. Recurrence of malignancy occurred in 10 patients included a local recurrence in 1 patient, and metastases in 9 patients. The overall postoperative 5-year survival rate is 61.0%. Non-rigid prosthetic reconstruction with ePTFE soft tissue patch provides satisfactory outcome. New prosthetic materials have to be examined whether they are superior to ePTFE soft tissue patch.
ISSN:0021-5252