caa a22 4500 60549052X CHVBK 20210128100505.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s10147-015-0844-1 doi (NATIONALLICENCE)springer-10.1007/s10147-015-0844-1 Post-operative pulmonary and shoulder function after sternal reconstruction for patients with chest wall sarcomas [Elektronische Daten] [Yoshihiro Nishida, Satoshi Tsukushi, Hiroshi Urakawa, Kazuhiro Toriyama, Yuzuru Kamei, Kohei Yokoi, Naoki Ishiguro] 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. Japan Society of Clinical Oncology, 2015 Sternectomy nationallicence Sarcoma nationallicence Respiratory function nationallicence Shoulder function nationallicence Paradoxical breathing nationallicence Nishida Yoshihiro Department of Orthopaedic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Aichi, Japan aut Tsukushi Satoshi Department of Orthopaedic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Aichi, Japan aut Urakawa Hiroshi Department of Orthopaedic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Aichi, Japan aut Toriyama Kazuhiro Department of Plastic and Reconstructive Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Japan aut Kamei Yuzuru Department of Plastic and Reconstructive Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Japan aut Yokoi Kohei Department of Thoracic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Japan aut Ishiguro Naoki Department of Orthopaedic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Aichi, Japan aut International Journal of Clinical Oncology Springer Japan 20/6(2015-12-01), 1218-1225 1341-9625 20:6<1218 2015 20 10147 https://doi.org/10.1007/s10147-015-0844-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10147-015-0844-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nishida Yoshihiro Department of Orthopaedic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Aichi, Japan aut NATIONALLICENCE 700 1- Tsukushi Satoshi Department of Orthopaedic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Aichi, Japan aut NATIONALLICENCE 700 1- Urakawa Hiroshi Department of Orthopaedic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Aichi, Japan aut NATIONALLICENCE 700 1- Toriyama Kazuhiro Department of Plastic and Reconstructive Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Japan aut NATIONALLICENCE 700 1- Kamei Yuzuru Department of Plastic and Reconstructive Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Japan aut NATIONALLICENCE 700 1- Yokoi Kohei Department of Thoracic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Japan aut NATIONALLICENCE 700 1- Ishiguro Naoki Department of Orthopaedic Surgery, Nagoya University Graduate School and School of Medicine, 65 Tsurumai, Showa, 466-8550, Nagoya, Aichi, Japan aut NATIONALLICENCE 773 0- International Journal of Clinical Oncology Springer Japan 20/6(2015-12-01), 1218-1225 1341-9625 20:6<1218 2015 20 10147