ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Should wide chest wall resections and reconstruction intimidate thoracic surgeons?
Kuthan Kavaklı1, Hakan Işık1, Merve Şengül İnan1, Ersin Sapmaz1, Musab Yeniköy1, Ufuk Ünsal1, Denizhan Kılınç1, Hasan Çaylak1
1Department of Thoracic Surgery, Gülhane Training and Research Hospital, Ankara, Türkiye
DOI : 10.5606/tgkdc.dergisi.2024.25804
Background: This study aimed to compare patients in whom wide chest wall resection and reconstruction or primary closure was performed.

Methods: A total of 63 patients who underwent chest wall resection and reconstruction between January 2018 and December 2022 were included in the retrospective study. The patients were divided into two groups: the first group, which included 31 patients (14 males, 17 females; mean age: 44.6±16.4 years; range, 16 to 71 years) who were closed primarily, and the second group, constituting 32 patients (25 males, 7 females; mean age: 54.6±17.2 years; range, 9 to 80 years) who underwent reconstruction with plates and meshes.

Results: There was no significant difference between the two groups in terms of smoking and diabetes. Primary chest wall or metastatic tumor was determined in 33 patients; benign tumor and trauma were determined in 30 patients. The difference between the two groups in mean defect diameter (p=0.009), mean number of plates used (p<0.001), and mean hospital stay (p<0.001) was statistically significant. However, there was no significant difference in terms of complications (p=0.426).

Conclusion: Wide chest wall resection and reconstruction is a safe and feasible surgical procedure when compared with primary closure.

Keywords : Chest wall resection, chest wall tumors, reconstruction, titanium plaque
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