Post-operative pulmonary and shoulder function after sternal reconstruction for patients with chest wall sarcomas
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| 024 | 7 | 0 | |a 10.1007/s10147-015-0844-1 |2 doi |
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| 245 | 0 | 0 | |a Post-operative pulmonary and shoulder function after sternal reconstruction for patients with chest wall sarcomas |h [Elektronische Daten] |c [Yoshihiro Nishida, Satoshi Tsukushi, Hiroshi Urakawa, Kazuhiro Toriyama, Yuzuru Kamei, Kohei Yokoi, Naoki Ishiguro] |
| 520 | 3 | |a Background: Sternal resection is occasionally required for patients with malignant tumors, particularly sarcomas, in the sternal region. Few reports have described post-operative respiratory and shoulder function after sternal resection for patients with bone and soft-tissue sarcomas. Methods: Eight consecutive patients with bone and soft tissue sarcomas requiring sternal resection were the focus of this study. Chest wall was reconstructed with a non-rigid or semi-rigid prosthesis combined, in most cases, with soft tissue flap reconstruction. Clinical outcomes investigated included complications, shoulder function, evaluated with Musculoskeletal Tumor Society-International Symposium of Limb Salvage system, and respiratory function, evaluated by use of spirometry. Results: The anterior chest wall was reconstructed with non-rigid strings for 3 patients and with polypropylene mesh for 5. There were no severe post-operative complications, for example surgical site infection or pneumonia. All 3 patients with non-rigid reconstruction experienced paradoxical breathing, whereas none with polypropylene mesh did so. Post-operatively, FEV(1)% was unchanged but %VC was significantly reduced (p=0.01), irrespective of the reconstruction method used (strings or polypropylene mesh). Shoulder function was not impaired. Conclusions: Among patients undergoing sternal resection, post-operative shoulder function was excellent. Pulmonary function was slightly restricted, but not sufficiently so to interfere with the activities of daily living (ADL). Paradoxical breathing is a slight concern for non-rigid reconstruction. | |
| 540 | |a Japan Society of Clinical Oncology, 2015 | ||
| 690 | 7 | |a Sternectomy |2 nationallicence | |
| 690 | 7 | |a Sarcoma |2 nationallicence | |
| 690 | 7 | |a Respiratory function |2 nationallicence | |
| 690 | 7 | |a Shoulder function |2 nationallicence | |
| 690 | 7 | |a Paradoxical breathing |2 nationallicence | |
| 700 | 1 | |a Nishida |D Yoshihiro |u Department of Orthopaedic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Aichi, Japan |4 aut | |
| 700 | 1 | |a Tsukushi |D Satoshi |u Department of Orthopaedic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Aichi, Japan |4 aut | |
| 700 | 1 | |a Urakawa |D Hiroshi |u Department of Orthopaedic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Aichi, Japan |4 aut | |
| 700 | 1 | |a Toriyama |D Kazuhiro |u Department of Plastic and Reconstructive Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Japan |4 aut | |
| 700 | 1 | |a Kamei |D Yuzuru |u Department of Plastic and Reconstructive Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Japan |4 aut | |
| 700 | 1 | |a Yokoi |D Kohei |u Department of Thoracic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Japan |4 aut | |
| 700 | 1 | |a Ishiguro |D Naoki |u Department of Orthopaedic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Aichi, Japan |4 aut | |
| 773 | 0 | |t International Journal of Clinical Oncology |d Springer Japan |g 20/6(2015-12-01), 1218-1225 |x 1341-9625 |q 20:6<1218 |1 2015 |2 20 |o 10147 | |
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| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s10147-015-0844-1 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Nishida |D Yoshihiro |u Department of Orthopaedic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Aichi, Japan |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Tsukushi |D Satoshi |u Department of Orthopaedic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Aichi, Japan |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Urakawa |D Hiroshi |u Department of Orthopaedic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Aichi, Japan |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Toriyama |D Kazuhiro |u Department of Plastic and Reconstructive Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Japan |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Kamei |D Yuzuru |u Department of Plastic and Reconstructive Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Japan |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Yokoi |D Kohei |u Department of Thoracic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Japan |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Ishiguro |D Naoki |u Department of Orthopaedic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Aichi, Japan |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t International Journal of Clinical Oncology |d Springer Japan |g 20/6(2015-12-01), 1218-1225 |x 1341-9625 |q 20:6<1218 |1 2015 |2 20 |o 10147 | ||