Extensive left chest wall resection with combined plasty of the defect in the patient with chondrosarcoma of the ribs
https://doi.org/10.24884/0042-4625-2018-177-5-89-91
Abstract
The objective of the study was to assess the possibility of combined plasty of a chest wall defect in a patient with a massive chondrosarcoma of the chest wall.
Material and methods. The restoration of frame-based structures of the chest wall with 4 titanium prosthesis, flap of the left broadest muscle of the back on the stem.
Results. Functional indices: the function of external respiration is within normal limits; lung capacity – 96 %; Stange assay – 1 min. 26 sec.; Genci test – 28 sec.
Conclusion. The possibility of long-term survival with a good quality of life in a patient with extensive resection of the left half of the chest wall with dimensions up to 420 cm2 is shown.
About the Authors
I. A. Larin
Federal State Budgetary Military Educational Institution of Higher Education «Military Medical Academy named after S.M. Kirov» of the Ministry of Defence of the Russian Federation
Russian Federation
Russian Federation
St. Petersburg
E. K. Gavrilov
Federal State Budgetary Military Educational Institution of Higher Education «Military Medical Academy named after S.M. Kirov» of the Ministry of Defence of the Russian Federation
Russian Federation
Russian Federation
St. Petersburg
S. B. Magomedov
Federal State Budgetary Military Educational Institution of Higher Education «Military Medical Academy named after S.M. Kirov» of the Ministry of Defence of the Russian Federation
Russian Federation
Russian Federation
St. Petersburg
A. Sh. Dzhabrailov
Federal State Budgetary Military Educational Institution of Higher Education «Military Medical Academy named after S.M. Kirov» of the Ministry of Defence of the Russian Federation
Russian Federation
Russian Federation
St. Petersburg
E. G. Verdiev
Federal State Budgetary Military Educational Institution of Higher Education «Military Medical Academy named after S.M. Kirov» of the Ministry of Defence of the Russian Federation
Russian Federation
Russian Federation
St. Petersburg
V. A. Tarasov
Federal State Budgetary Military Educational Institution of Higher Education «Military Medical Academy named after S.M. Kirov» of the Ministry of Defence of the Russian Federation
Russian Federation
Russian Federation
St. Petersburg
G. G. Khubulava
Federal State Budgetary Military Educational Institution of Higher Education «Military Medical Academy named after S.M. Kirov» of the Ministry of Defence of the Russian Federation
Russian Federation
Russian Federation
St. Petersburg
References
1. Adamyan A. A. Atlas plasticheskikh operatsii na grudnoi stenke s ispol’zovaniem endoprotezov. Moscow: Mir iskusstva, 1994. P. 158.
2. Vishnevskii A. A., Rudakov S. S., Milanov O. N. Khirurgiya grudnoi stenki. Moscow: VIDAR, 2005. P. 301.
3. Larin I. A., Tarasov V. A., Khubulava G. G., Gavrilov E. K. Vozmozhnosti operativnogo lecheniya bol’nykh s obshirnymi zlokachestvennymi porazheniyami grudnoi stenki // Klinicheskaya meditsina. 2015. № 7. P. 40–45.
Review
For citations:
Larin I.A., Gavrilov E.K., Magomedov S.B., Dzhabrailov A.Sh., Verdiev E.G., Tarasov V.A., Khubulava G.G. Extensive left chest wall resection with combined plasty of the defect in the patient with chondrosarcoma of the ribs. Grekov's Bulletin of Surgery. 2018;177(5):89-91. (In Russ.) https://doi.org/10.24884/0042-4625-2018-177-5-89-91
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