Short-term outcomes of chest wall resections.

IF 0.6 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-09-01 Epub Date: 2025-05-31 DOI:10.1007/s12055-025-01975-y

Vishnu Santhosh Menon, Amita Sekhar Padhy, Rigved Nittala

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Abstract

Introduction: Chest wall resections (CWRs) pose a unique challenge for a thoracic surgeon by virtue of the complexities involved in maintaining anatomical integrity and functional dynamics of the region. We aimed at studying the outcomes of CWR from the thoracic surgery unit of a comprehensive cancer care centre located in a tier 2 city in India.

Methods: This is a retrospective study of all CWRs from our centre, between 15 January 2019 to 15 January 2025. Patients were identified from a prospectively maintained surgical database and electronic medical records.

Results: A total of 12 cases were identified who underwent CWR in the said duration, and the majority were for sarcoma (5/12, 41.6%). Rib resections were needed in 10/12 (83.3%) cases, with the 3rd rib (5/12, 41.6%) being the most commonly resected; and multiple rib resections were needed in 7/12 (58.3%) patients. Mesh repair was used in the majority of patients for reconstruction (10/12, 83.3%). No major perioperative morbidity was observed in any of the patients in the first 30 days of surgery.

Conclusion: This study provides preliminary evidence for safe CWR being feasible at a low-volume thoracic surgical unit in India.

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胸壁切除术的短期结果。

胸壁切除术（CWRs）对胸外科医生来说是一个独特的挑战，因为它涉及到保持该区域解剖完整性和功能动态的复杂性。我们的目的是研究位于印度二线城市的综合癌症护理中心胸外科的CWR结果。方法：对2019年1月15日至2025年1月15日期间本中心所有CWRs进行回顾性研究。从前瞻性维护的外科数据库和电子病历中确定患者。结果：在此期间，共有12例患者行CWR，其中以肉瘤患者居多（5/12,41.6%）。10/12（83.3%）病例需要切除肋骨，其中第3肋骨（5/12,41.6%）最常切除；7/12（58.3%）患者需要行多次肋骨切除术。大多数患者采用补片修复进行重建（10/12,83.3%）。在手术的前30天内，没有观察到任何患者出现重大围手术期发病率。结论：本研究为安全的CWR在印度小容量胸外科是可行的提供了初步证据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

1.20

自引率

14.30%

发文量

141

期刊介绍： The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.