2022
DOI: 10.21037/tcr-21-2143
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The size and sternal involvement of chest wall resections for malignant disease predict postoperative morbidity

Abstract: Background: Chest wall resections/reconstructions are a validated approach to manage tumors invading the thorax. However, how resection characteristics affect postoperative morbidity and mortality is unknown.We determined the impact of chest wall resection size and location on patient short and long-term postoperative outcomes. Methods:We reviewed all consecutive patients who underwent resections/reconstructions for chest wall tumors between 2003 and 2018. The impact of chest wall resection size and location a… Show more

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Cited by 2 publications
(11 citation statements)
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“…When CWRs are performed for an oncological indication, the extent of the resection is determined by two elements pulling in opposite directions: radical resection (R0) is critical to ensure positive oncological outcomes but removing a part of the chest wall significantly affects respiratory mechanics, thus increasing the risk of pulmonary atelectasis and pneumonia ( 6 , 18 , 20 , 21 ).…”
Section: Cwrmentioning
confidence: 99%
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“…When CWRs are performed for an oncological indication, the extent of the resection is determined by two elements pulling in opposite directions: radical resection (R0) is critical to ensure positive oncological outcomes but removing a part of the chest wall significantly affects respiratory mechanics, thus increasing the risk of pulmonary atelectasis and pneumonia ( 6 , 18 , 20 , 21 ).…”
Section: Cwrmentioning
confidence: 99%
“…Various improvements have allowed extensive CWRs to be performed with acceptable morbidity and mortality: surgical and anesthetic techniques; improved understanding of R0 resection; critical care units; use of antibiotics; development and refinements in reconstruction techniques; advent of positron emission tomography-computed tomography (PET-CT) allowing a more precise oncological staging of the disease; improvements in neo-adjuvant/adjuvant therapies ( 6 , 7 ). The location, the size and the type of resection depend on the underlying pathology.…”
Section: Cwrmentioning
confidence: 99%
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