RECONSTRUCTION OF THE CHEST WALL USING TITANIUM NICKELID FOR CANCER PATIENTS
Abstract
The efficacy of the chest wall reconstruction with TiNi implants was assessed. Between 2007 and 2014, 21 patients with malignant tumors of the skin, soft tissues, ribs and sternum (sarcomas and metastases) underwent replacement of post-resection chest wall defects using the original Ti-Ni constructions. A total of 28 surgeries were performed including 19 single-stage reconstructions or 2 delayed reconstructions. The average square of the defect was 127 cm2 (40 to 323 cm2). results. Spontaneous breathing was restored on the day of surgery in 27 (96.4 %) cases. Chest carcass recovery was achieved in all cases. The amplitude reduction was observed in 10 (36 %) cases and complete elimination of pathological chest wall flotation was achieved in 18 (64 %) cases. Complications requiring surgery were observed in 3 (11 %) patients. At a long-term follow-up, 10 patients are alive. conclusion. The technique combining the use of TiNi alloy structures and complex autotissue grafts with axial type of blood supply allows chest wall cancer with extensive local spread to be successfully treated.
About the Authors
A. A. Zheravin
Tomsk Cancer Research Institute
Russian Federation
Russian Federation
Zheravin Alexandr Alexandrovich - MD, PhD, Senior Researcher, General Oncology Department.
Phone: +7 3822 418093. Е-mail: zheravin2010@yandex.ru. SPIN-code: 2858-7175
V. E. Gyunter
Research Institute of Medical Materials and Shape Memory Implants
Russian Federation
Gyunter Viktor Eduardovich - DSc, Professor, Tomsk State University, Research Institute of Medical Materials and Implants
Russian Federation
Gyunter Viktor Eduardovich - DSc, Professor, Tomsk State University, Research Institute of Medical Materials and Implants
I. I. Anisenya
Tomsk Cancer Research Institute
Russian Federation
Russian Federation
Anisenya Ilya Ivanovich - MD, PhD, Senior Researcher, General Oncology Department.
Phone: +73822 418093. E-mail: clinica@oncology.tomsk.ru. SPIN-code: 3003-8744
Е. Yu. Garbukov
Tomsk Cancer Research Institute
Russian Federation
Russian Federation
Garbukov Evgeny Yuryevich - MD, PhD, Senior Researcher, General Oncology Department.
Phone: +7 3822 418093. E-mail: clinica@oncology.tomsk.ru. SPIN-code: 3630-2324
G. S. Zhamgaryan
Tomsk Cancer Research Institute
Russian Federation
Russian Federation
Zhamgaryan Gevork Samvelovich - MD, Junior Researher, General Oncology Department.
Phone: +7 3822 418093. E-mail: clinica@oncology.tomsk.ru. SPIN-code: 1347-2333
A. V. Bogoutdinova
Tomsk Cancer Research Institute
Russian Federation
Russian Federation
Bogoutdinova Anna Vladimirovna - MD, PhD, General Oncology Department.
Phone: +7 3822418093. E-mail: clinica@oncology.tomsk.ru. SPIN-code 6120-7933
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Review
For citations:
Zheravin A.A., Gyunter V.E., Anisenya I.I., Garbukov Е.Yu., Zhamgaryan G.S., Bogoutdinova A.V. RECONSTRUCTION OF THE CHEST WALL USING TITANIUM NICKELID FOR CANCER PATIENTS. Siberian journal of oncology. 2015;1(3):31-37. (In Russ.)
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