Reconstructive Strategies in Pediatric Patients after Oncological Chest Wall Resection: A Systematic Review.

IF 1.5 3区 医学 Q2 PEDIATRICS
European Journal of Pediatric Surgery Pub Date : 2023-12-01 Epub Date: 2023-01-14 DOI:10.1055/a-2013-3074
Pieter W Lonnee, Zachri N Ovadja, Caroline C C Hulsker, Michiel A J van de Sande, Cornelis P van de Ven, Emma C Paes
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引用次数: 0

Abstract

An appropriate reconstruction strategy after surgical resection of chest wall tumors in children is important to optimize outcomes, but there is no consensus on the ideal approach. The aim of this study was to provide an up-to-date systematic review of the literature for different reconstruction strategies for chest wall defects in patients less than 18 years old. A systematic literature search of the complete available literature was performed and results were analyzed. A total of 22 articles were included in the analysis, which described a total of 130 chest wall reconstructions. All were retrospective analyses, including eight case reports. Reconstructive options were divided into primary closure (n = 21 [16.2%]), use of nonautologous materials (n = 83 [63.8%]), autologous tissue repair (n = 2 [1.5%]), or a combination of the latter two (n = 24 [18.5%]). Quality of evidence was poor, and the results mostly heterogeneous. Reconstruction of chest wall defects can be divided into four major categories, with each category including its own advantages and disadvantages. There is a need for higher quality evidence and guidelines, to be able to report uniformly on treatment outcomes and assess the appropriate reconstruction strategy.

肿瘤性胸壁切除术后小儿患者的重建策略:系统回顾
儿童胸壁肿瘤手术切除后,适当的重建策略对于优化治疗效果非常重要,但对于理想的方法还没有达成共识。本研究的目的是对有关 18 岁以下患者胸壁缺损的不同重建策略的文献进行最新的系统性回顾。我们对现有的全部文献进行了系统性检索,并对检索结果进行了分析。共有 22 篇文章被纳入分析,其中描述了 130 例胸壁重建。所有文章均为回顾性分析,其中包括 8 篇病例报告。重建方案分为初次闭合(21 例 [16.2%])、使用非自体材料(83 例 [63.8%])、自体组织修复(2 例 [1.5%])或后两者的组合(24 例 [18.5%])。证据质量较差,结果大多不尽相同。胸壁缺损的重建可分为四大类,每一类都有自己的优缺点。需要更高质量的证据和指南,以便统一报告治疗结果和评估适当的重建策略。
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
CiteScore
3.90
自引率
5.60%
发文量
66
审稿时长
6-12 weeks
期刊介绍: This broad-based international journal updates you on vital developments in pediatric surgery through original articles, abstracts of the literature, and meeting announcements. You will find state-of-the-art information on: abdominal and thoracic surgery neurosurgery urology gynecology oncology orthopaedics traumatology anesthesiology child pathology embryology morphology Written by surgeons, physicians, anesthesiologists, radiologists, and others involved in the surgical care of neonates, infants, and children, the EJPS is an indispensable resource for all specialists.
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