@article{oai:kanazawa-u.repo.nii.ac.jp:00044665, author = {Oda, Makoto and Shimizu, Junzo and Matsumoto, Isao and Hayashi, Yoshinobu and Ota, Yasuhiko and Go, Tetsuhiko and Nagatoshi, Ayumi and Kinsen, Hidenori and Watanabe, Yoh and 小田, 誠 and 清水, 淳三 and 松本, 勲 and 林, 義信 and 太田, 安彦 and 呉, 哲彦 and 長利, あゆみ and 金泉, 秀典 and 渡辺, 洋宇}, issue = {1}, journal = {胸部外科 = 日本心臓血管外科学会雑誌, The Japanese journal of thoracic surgery}, month = {Jan}, note = {Twenty-three patients underwent chest wall reconstruction in our department. The underlying disease was bronchial carcinoma in 14, urachus tumor in 2, breast cancer in 1, renal cancer in 1, thymic Hodgkin's lymphoma in 1, tuberculosis in 1, fibrosarcoma in 1, and pseudoaneurysm of the aortic arch caused by reconstructed material in 1. An average of 3.4 ribs were resected in 18 patients and sternectomies were performed in 5. Chest wall reconstruction was performed with Marlex mesh in 14, Marlex mesh with methyl methacrylate in 5, Marlex mesh with steel wire in 1, Marlex mesh with omentopexy in 1, Marlex mesh with A-O plate in 1, and net formation with catgut in 1. There was no operative death. Postoperative wound infection occurred in only 1 patient with Marlex mesh cleaned by irrigation and administration of antibiotics. Three patients with Marlex mesh and metyl methacrylate required removal of the prosthetic material postoperatively because of wound infection in 1, seroma in 1, and dislocation of the former reconstructed material in 1. One patient with Marlex mesh and steel wire had protrusion of the wire under the skin and the wire was removed. Eleven patients of lung cancer died at 2-17 months after surgery. In conclusion, chest wall reconstruction with Marlex mesh had excellent results, and chest wall resection and reconstruction for malignancy could be good palliation., 金沢大学医薬保健研究域医学系}, pages = {17--20}, title = {胸壁再建術症例の再建法とその成績の検討}, volume = {49}, year = {1996} }