両側第1, 2, 3肋骨切除を伴う胸骨亜全切除後の胸壁再建の1例
書誌事項
- タイトル別名
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- A Case of Reconstruction of the Chest Wall after Subtotal Resection of the Sternum and Removal of the First Three Ribs Bilaterally
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説明
The patient was a 57-year-old man with malignant lymphoma around the upper part of sternum, who visited us with the complaints of pain and a palpable mass.<BR>Resection of the tumor involved removing all layers of the chest wall, including the upper half of the sternum, anterior segments of the first three ribs bilaterally and the proximal one-third of both clavicles, thymus, subcutaneous tissue and skin as well as a portion of the left upper lobe, pericardium and pleura invaded by the tumor. The defect, 11 by 12 cm, was repaired with double marlex mesh and a musculocutaneous flap from the left pectoralis major.<BR>As there was paradoxical motion of the reconstructed chest wall, it was necessary to intubate and apply ventilatory support for 20 days.<BR>The wound became infected, but antibiotic therapy controlled the infection.<BR>It seemed that a more rigid prosthesis should be made for reconstruction after resection of the sternum, although Marlex mesh has good compatibility with host tissues.
収録刊行物
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- 日本呼吸器外科学会雑誌 呼吸器外科
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日本呼吸器外科学会雑誌 呼吸器外科 4 (3), 370-377, 1990
特定非営利活動法人 日本呼吸器外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282679328203136
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- NII論文ID
- 130003653386
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- ISSN
- 18841724
- 09174141
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可