Reconstruction of the thoracic wall—long-term follow-up including pulmonary function tests
Purpose Thoracic wall reconstructions have become a standard procedure for the reconstructive plastic surgeon in the larger hospital setting, but detailed reports about long-term results including pulmonary function and physical examination are rare. Materials and methods The data of 92 consecutive...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Daigeler, Adrien [verfasserIn] Druecke, Daniel [verfasserIn] Hakimi, Mitra [verfasserIn] Duchna, Hans-Werner [verfasserIn] Goertz, Ole [verfasserIn] Homann, Heinz-Herbert [verfasserIn] Lehnhardt, Marcus [verfasserIn] Steinau, Hans-Ulrich [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2008 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Langenbeck's archives of surgery - Berlin : Springer, 1948, 394(2008), 4 vom: 02. Aug., Seite 705-715 |
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| Übergeordnetes Werk: |
volume:394 ; year:2008 ; number:4 ; day:02 ; month:08 ; pages:705-715 |
| Links: |
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| DOI / URN: |
10.1007/s00423-008-0400-9 |
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| Katalog-ID: |
SPR00557708X |
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| 245 | 1 | 0 | |a Reconstruction of the thoracic wall—long-term follow-up including pulmonary function tests |
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| 520 | |a Purpose Thoracic wall reconstructions have become a standard procedure for the reconstructive plastic surgeon in the larger hospital setting, but detailed reports about long-term results including pulmonary function and physical examination are rare. Materials and methods The data of 92 consecutive patients with full thickness chest wall resections were acquired from patient’s charts and contact to patients, their relatives or general practitioners, with special reference to treatment and clinical course. At a mean follow-up of 5.5 years, 36 patients were examined physically and interviewed. Twenty-seven of them underwent additional pulmonary function tests. Kaplan–Meier method was used to calculate survival. Regression tests were undertaken to identify factors influencing the outcome. Results Postoperative complications were observed in 42.4%, but neither mesh implantation nor the size of the defect contributed significantly. The 5-year mortality was worse for patients with recurrent mamma carcinoma (90.6%) than for patients with soft tissue sarcoma (56.3%). No medical history or operation parameter (resection size and localization) besides the general patients’ conditions increased mortality. Pulmonary function parameters were only moderately reduced and not significantly affected by the resections’ size or its localization. Majority of patients suffer from sensation disorders and motion-dependent pain, which contributed significantly to hypoxemia. Quality-of-life parameters were significantly reduced compared to the healthy control group but similar to the control group with cancer according to the Short Form-36 protocol. We could not detect a relevant decrease in quality of life comparing post- to preoperative values. Conclusions Thoracic wall reconstruction provides sufficient thoracic wall stability to maintain pulmonary function, but postoperative pain and sensation disorders are considerable. However, chest wall repair can contribute to palliation and even cure after full-thickness resections. | ||
| 650 | 4 | |a Sarcoma |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Latissimus dorsi flap |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Thoracic wall resection |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Thoracic wall reconstruction |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Pulmonary function |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Druecke, Daniel |e verfasserin |4 aut | |
| 700 | 1 | |a Hakimi, Mitra |e verfasserin |4 aut | |
| 700 | 1 | |a Duchna, Hans-Werner |e verfasserin |4 aut | |
| 700 | 1 | |a Goertz, Ole |e verfasserin |4 aut | |
| 700 | 1 | |a Homann, Heinz-Herbert |e verfasserin |4 aut | |
| 700 | 1 | |a Lehnhardt, Marcus |e verfasserin |4 aut | |
| 700 | 1 | |a Steinau, Hans-Ulrich |e verfasserin |4 aut | |
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10.1007/s00423-008-0400-9 doi (DE-627)SPR00557708X (SPR)s00423-008-0400-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Daigeler, Adrien verfasserin aut Reconstruction of the thoracic wall—long-term follow-up including pulmonary function tests 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Thoracic wall reconstructions have become a standard procedure for the reconstructive plastic surgeon in the larger hospital setting, but detailed reports about long-term results including pulmonary function and physical examination are rare. Materials and methods The data of 92 consecutive patients with full thickness chest wall resections were acquired from patient’s charts and contact to patients, their relatives or general practitioners, with special reference to treatment and clinical course. At a mean follow-up of 5.5 years, 36 patients were examined physically and interviewed. Twenty-seven of them underwent additional pulmonary function tests. Kaplan–Meier method was used to calculate survival. Regression tests were undertaken to identify factors influencing the outcome. Results Postoperative complications were observed in 42.4%, but neither mesh implantation nor the size of the defect contributed significantly. The 5-year mortality was worse for patients with recurrent mamma carcinoma (90.6%) than for patients with soft tissue sarcoma (56.3%). No medical history or operation parameter (resection size and localization) besides the general patients’ conditions increased mortality. Pulmonary function parameters were only moderately reduced and not significantly affected by the resections’ size or its localization. Majority of patients suffer from sensation disorders and motion-dependent pain, which contributed significantly to hypoxemia. Quality-of-life parameters were significantly reduced compared to the healthy control group but similar to the control group with cancer according to the Short Form-36 protocol. We could not detect a relevant decrease in quality of life comparing post- to preoperative values. Conclusions Thoracic wall reconstruction provides sufficient thoracic wall stability to maintain pulmonary function, but postoperative pain and sensation disorders are considerable. However, chest wall repair can contribute to palliation and even cure after full-thickness resections. Sarcoma (dpeaa)DE-He213 Latissimus dorsi flap (dpeaa)DE-He213 Thoracic wall resection (dpeaa)DE-He213 Thoracic wall reconstruction (dpeaa)DE-He213 Pulmonary function (dpeaa)DE-He213 Druecke, Daniel verfasserin aut Hakimi, Mitra verfasserin aut Duchna, Hans-Werner verfasserin aut Goertz, Ole verfasserin aut Homann, Heinz-Herbert verfasserin aut Lehnhardt, Marcus verfasserin aut Steinau, Hans-Ulrich verfasserin aut Enthalten in Langenbeck's archives of surgery Berlin : Springer, 1948 394(2008), 4 vom: 02. Aug., Seite 705-715 (DE-627)253770440 (DE-600)1459390-7 1435-2451 nnns volume:394 year:2008 number:4 day:02 month:08 pages:705-715 https://dx.doi.org/10.1007/s00423-008-0400-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2339 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 394 2008 4 02 08 705-715 |
| spelling |
10.1007/s00423-008-0400-9 doi (DE-627)SPR00557708X (SPR)s00423-008-0400-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Daigeler, Adrien verfasserin aut Reconstruction of the thoracic wall—long-term follow-up including pulmonary function tests 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Thoracic wall reconstructions have become a standard procedure for the reconstructive plastic surgeon in the larger hospital setting, but detailed reports about long-term results including pulmonary function and physical examination are rare. Materials and methods The data of 92 consecutive patients with full thickness chest wall resections were acquired from patient’s charts and contact to patients, their relatives or general practitioners, with special reference to treatment and clinical course. At a mean follow-up of 5.5 years, 36 patients were examined physically and interviewed. Twenty-seven of them underwent additional pulmonary function tests. Kaplan–Meier method was used to calculate survival. Regression tests were undertaken to identify factors influencing the outcome. Results Postoperative complications were observed in 42.4%, but neither mesh implantation nor the size of the defect contributed significantly. The 5-year mortality was worse for patients with recurrent mamma carcinoma (90.6%) than for patients with soft tissue sarcoma (56.3%). No medical history or operation parameter (resection size and localization) besides the general patients’ conditions increased mortality. Pulmonary function parameters were only moderately reduced and not significantly affected by the resections’ size or its localization. Majority of patients suffer from sensation disorders and motion-dependent pain, which contributed significantly to hypoxemia. Quality-of-life parameters were significantly reduced compared to the healthy control group but similar to the control group with cancer according to the Short Form-36 protocol. We could not detect a relevant decrease in quality of life comparing post- to preoperative values. Conclusions Thoracic wall reconstruction provides sufficient thoracic wall stability to maintain pulmonary function, but postoperative pain and sensation disorders are considerable. However, chest wall repair can contribute to palliation and even cure after full-thickness resections. Sarcoma (dpeaa)DE-He213 Latissimus dorsi flap (dpeaa)DE-He213 Thoracic wall resection (dpeaa)DE-He213 Thoracic wall reconstruction (dpeaa)DE-He213 Pulmonary function (dpeaa)DE-He213 Druecke, Daniel verfasserin aut Hakimi, Mitra verfasserin aut Duchna, Hans-Werner verfasserin aut Goertz, Ole verfasserin aut Homann, Heinz-Herbert verfasserin aut Lehnhardt, Marcus verfasserin aut Steinau, Hans-Ulrich verfasserin aut Enthalten in Langenbeck's archives of surgery Berlin : Springer, 1948 394(2008), 4 vom: 02. Aug., Seite 705-715 (DE-627)253770440 (DE-600)1459390-7 1435-2451 nnns volume:394 year:2008 number:4 day:02 month:08 pages:705-715 https://dx.doi.org/10.1007/s00423-008-0400-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2339 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 394 2008 4 02 08 705-715 |
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10.1007/s00423-008-0400-9 doi (DE-627)SPR00557708X (SPR)s00423-008-0400-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Daigeler, Adrien verfasserin aut Reconstruction of the thoracic wall—long-term follow-up including pulmonary function tests 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Thoracic wall reconstructions have become a standard procedure for the reconstructive plastic surgeon in the larger hospital setting, but detailed reports about long-term results including pulmonary function and physical examination are rare. Materials and methods The data of 92 consecutive patients with full thickness chest wall resections were acquired from patient’s charts and contact to patients, their relatives or general practitioners, with special reference to treatment and clinical course. At a mean follow-up of 5.5 years, 36 patients were examined physically and interviewed. Twenty-seven of them underwent additional pulmonary function tests. Kaplan–Meier method was used to calculate survival. Regression tests were undertaken to identify factors influencing the outcome. Results Postoperative complications were observed in 42.4%, but neither mesh implantation nor the size of the defect contributed significantly. The 5-year mortality was worse for patients with recurrent mamma carcinoma (90.6%) than for patients with soft tissue sarcoma (56.3%). No medical history or operation parameter (resection size and localization) besides the general patients’ conditions increased mortality. Pulmonary function parameters were only moderately reduced and not significantly affected by the resections’ size or its localization. Majority of patients suffer from sensation disorders and motion-dependent pain, which contributed significantly to hypoxemia. Quality-of-life parameters were significantly reduced compared to the healthy control group but similar to the control group with cancer according to the Short Form-36 protocol. We could not detect a relevant decrease in quality of life comparing post- to preoperative values. Conclusions Thoracic wall reconstruction provides sufficient thoracic wall stability to maintain pulmonary function, but postoperative pain and sensation disorders are considerable. However, chest wall repair can contribute to palliation and even cure after full-thickness resections. Sarcoma (dpeaa)DE-He213 Latissimus dorsi flap (dpeaa)DE-He213 Thoracic wall resection (dpeaa)DE-He213 Thoracic wall reconstruction (dpeaa)DE-He213 Pulmonary function (dpeaa)DE-He213 Druecke, Daniel verfasserin aut Hakimi, Mitra verfasserin aut Duchna, Hans-Werner verfasserin aut Goertz, Ole verfasserin aut Homann, Heinz-Herbert verfasserin aut Lehnhardt, Marcus verfasserin aut Steinau, Hans-Ulrich verfasserin aut Enthalten in Langenbeck's archives of surgery Berlin : Springer, 1948 394(2008), 4 vom: 02. Aug., Seite 705-715 (DE-627)253770440 (DE-600)1459390-7 1435-2451 nnns volume:394 year:2008 number:4 day:02 month:08 pages:705-715 https://dx.doi.org/10.1007/s00423-008-0400-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2339 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 394 2008 4 02 08 705-715 |
| allfieldsGer |
10.1007/s00423-008-0400-9 doi (DE-627)SPR00557708X (SPR)s00423-008-0400-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Daigeler, Adrien verfasserin aut Reconstruction of the thoracic wall—long-term follow-up including pulmonary function tests 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Thoracic wall reconstructions have become a standard procedure for the reconstructive plastic surgeon in the larger hospital setting, but detailed reports about long-term results including pulmonary function and physical examination are rare. Materials and methods The data of 92 consecutive patients with full thickness chest wall resections were acquired from patient’s charts and contact to patients, their relatives or general practitioners, with special reference to treatment and clinical course. At a mean follow-up of 5.5 years, 36 patients were examined physically and interviewed. Twenty-seven of them underwent additional pulmonary function tests. Kaplan–Meier method was used to calculate survival. Regression tests were undertaken to identify factors influencing the outcome. Results Postoperative complications were observed in 42.4%, but neither mesh implantation nor the size of the defect contributed significantly. The 5-year mortality was worse for patients with recurrent mamma carcinoma (90.6%) than for patients with soft tissue sarcoma (56.3%). No medical history or operation parameter (resection size and localization) besides the general patients’ conditions increased mortality. Pulmonary function parameters were only moderately reduced and not significantly affected by the resections’ size or its localization. Majority of patients suffer from sensation disorders and motion-dependent pain, which contributed significantly to hypoxemia. Quality-of-life parameters were significantly reduced compared to the healthy control group but similar to the control group with cancer according to the Short Form-36 protocol. We could not detect a relevant decrease in quality of life comparing post- to preoperative values. Conclusions Thoracic wall reconstruction provides sufficient thoracic wall stability to maintain pulmonary function, but postoperative pain and sensation disorders are considerable. However, chest wall repair can contribute to palliation and even cure after full-thickness resections. Sarcoma (dpeaa)DE-He213 Latissimus dorsi flap (dpeaa)DE-He213 Thoracic wall resection (dpeaa)DE-He213 Thoracic wall reconstruction (dpeaa)DE-He213 Pulmonary function (dpeaa)DE-He213 Druecke, Daniel verfasserin aut Hakimi, Mitra verfasserin aut Duchna, Hans-Werner verfasserin aut Goertz, Ole verfasserin aut Homann, Heinz-Herbert verfasserin aut Lehnhardt, Marcus verfasserin aut Steinau, Hans-Ulrich verfasserin aut Enthalten in Langenbeck's archives of surgery Berlin : Springer, 1948 394(2008), 4 vom: 02. Aug., Seite 705-715 (DE-627)253770440 (DE-600)1459390-7 1435-2451 nnns volume:394 year:2008 number:4 day:02 month:08 pages:705-715 https://dx.doi.org/10.1007/s00423-008-0400-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2339 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 394 2008 4 02 08 705-715 |
| allfieldsSound |
10.1007/s00423-008-0400-9 doi (DE-627)SPR00557708X (SPR)s00423-008-0400-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Daigeler, Adrien verfasserin aut Reconstruction of the thoracic wall—long-term follow-up including pulmonary function tests 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Thoracic wall reconstructions have become a standard procedure for the reconstructive plastic surgeon in the larger hospital setting, but detailed reports about long-term results including pulmonary function and physical examination are rare. Materials and methods The data of 92 consecutive patients with full thickness chest wall resections were acquired from patient’s charts and contact to patients, their relatives or general practitioners, with special reference to treatment and clinical course. At a mean follow-up of 5.5 years, 36 patients were examined physically and interviewed. Twenty-seven of them underwent additional pulmonary function tests. Kaplan–Meier method was used to calculate survival. Regression tests were undertaken to identify factors influencing the outcome. Results Postoperative complications were observed in 42.4%, but neither mesh implantation nor the size of the defect contributed significantly. The 5-year mortality was worse for patients with recurrent mamma carcinoma (90.6%) than for patients with soft tissue sarcoma (56.3%). No medical history or operation parameter (resection size and localization) besides the general patients’ conditions increased mortality. Pulmonary function parameters were only moderately reduced and not significantly affected by the resections’ size or its localization. Majority of patients suffer from sensation disorders and motion-dependent pain, which contributed significantly to hypoxemia. Quality-of-life parameters were significantly reduced compared to the healthy control group but similar to the control group with cancer according to the Short Form-36 protocol. We could not detect a relevant decrease in quality of life comparing post- to preoperative values. Conclusions Thoracic wall reconstruction provides sufficient thoracic wall stability to maintain pulmonary function, but postoperative pain and sensation disorders are considerable. However, chest wall repair can contribute to palliation and even cure after full-thickness resections. Sarcoma (dpeaa)DE-He213 Latissimus dorsi flap (dpeaa)DE-He213 Thoracic wall resection (dpeaa)DE-He213 Thoracic wall reconstruction (dpeaa)DE-He213 Pulmonary function (dpeaa)DE-He213 Druecke, Daniel verfasserin aut Hakimi, Mitra verfasserin aut Duchna, Hans-Werner verfasserin aut Goertz, Ole verfasserin aut Homann, Heinz-Herbert verfasserin aut Lehnhardt, Marcus verfasserin aut Steinau, Hans-Ulrich verfasserin aut Enthalten in Langenbeck's archives of surgery Berlin : Springer, 1948 394(2008), 4 vom: 02. Aug., Seite 705-715 (DE-627)253770440 (DE-600)1459390-7 1435-2451 nnns volume:394 year:2008 number:4 day:02 month:08 pages:705-715 https://dx.doi.org/10.1007/s00423-008-0400-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2339 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 394 2008 4 02 08 705-715 |
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English |
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Enthalten in Langenbeck's archives of surgery 394(2008), 4 vom: 02. Aug., Seite 705-715 volume:394 year:2008 number:4 day:02 month:08 pages:705-715 |
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Enthalten in Langenbeck's archives of surgery 394(2008), 4 vom: 02. Aug., Seite 705-715 volume:394 year:2008 number:4 day:02 month:08 pages:705-715 |
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findex.gbv.de |
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Sarcoma Latissimus dorsi flap Thoracic wall resection Thoracic wall reconstruction Pulmonary function |
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Daigeler, Adrien @@aut@@ Druecke, Daniel @@aut@@ Hakimi, Mitra @@aut@@ Duchna, Hans-Werner @@aut@@ Goertz, Ole @@aut@@ Homann, Heinz-Herbert @@aut@@ Lehnhardt, Marcus @@aut@@ Steinau, Hans-Ulrich @@aut@@ |
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2008-08-02T00:00:00Z |
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Materials and methods The data of 92 consecutive patients with full thickness chest wall resections were acquired from patient’s charts and contact to patients, their relatives or general practitioners, with special reference to treatment and clinical course. At a mean follow-up of 5.5 years, 36 patients were examined physically and interviewed. Twenty-seven of them underwent additional pulmonary function tests. Kaplan–Meier method was used to calculate survival. Regression tests were undertaken to identify factors influencing the outcome. Results Postoperative complications were observed in 42.4%, but neither mesh implantation nor the size of the defect contributed significantly. The 5-year mortality was worse for patients with recurrent mamma carcinoma (90.6%) than for patients with soft tissue sarcoma (56.3%). No medical history or operation parameter (resection size and localization) besides the general patients’ conditions increased mortality. Pulmonary function parameters were only moderately reduced and not significantly affected by the resections’ size or its localization. Majority of patients suffer from sensation disorders and motion-dependent pain, which contributed significantly to hypoxemia. Quality-of-life parameters were significantly reduced compared to the healthy control group but similar to the control group with cancer according to the Short Form-36 protocol. We could not detect a relevant decrease in quality of life comparing post- to preoperative values. Conclusions Thoracic wall reconstruction provides sufficient thoracic wall stability to maintain pulmonary function, but postoperative pain and sensation disorders are considerable. 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Daigeler, Adrien |
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Daigeler, Adrien ddc 610 bkl 44.65 misc Sarcoma misc Latissimus dorsi flap misc Thoracic wall resection misc Thoracic wall reconstruction misc Pulmonary function Reconstruction of the thoracic wall—long-term follow-up including pulmonary function tests |
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610 ASE 44.65 bkl Reconstruction of the thoracic wall—long-term follow-up including pulmonary function tests Sarcoma (dpeaa)DE-He213 Latissimus dorsi flap (dpeaa)DE-He213 Thoracic wall resection (dpeaa)DE-He213 Thoracic wall reconstruction (dpeaa)DE-He213 Pulmonary function (dpeaa)DE-He213 |
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ddc 610 bkl 44.65 misc Sarcoma misc Latissimus dorsi flap misc Thoracic wall resection misc Thoracic wall reconstruction misc Pulmonary function |
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ddc 610 bkl 44.65 misc Sarcoma misc Latissimus dorsi flap misc Thoracic wall resection misc Thoracic wall reconstruction misc Pulmonary function |
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ddc 610 bkl 44.65 misc Sarcoma misc Latissimus dorsi flap misc Thoracic wall resection misc Thoracic wall reconstruction misc Pulmonary function |
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Reconstruction of the thoracic wall—long-term follow-up including pulmonary function tests |
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Daigeler, Adrien |
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Langenbeck's archives of surgery |
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2008 |
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Daigeler, Adrien Druecke, Daniel Hakimi, Mitra Duchna, Hans-Werner Goertz, Ole Homann, Heinz-Herbert Lehnhardt, Marcus Steinau, Hans-Ulrich |
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Daigeler, Adrien |
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10.1007/s00423-008-0400-9 |
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610 |
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verfasserin |
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reconstruction of the thoracic wall—long-term follow-up including pulmonary function tests |
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Reconstruction of the thoracic wall—long-term follow-up including pulmonary function tests |
| abstract |
Purpose Thoracic wall reconstructions have become a standard procedure for the reconstructive plastic surgeon in the larger hospital setting, but detailed reports about long-term results including pulmonary function and physical examination are rare. Materials and methods The data of 92 consecutive patients with full thickness chest wall resections were acquired from patient’s charts and contact to patients, their relatives or general practitioners, with special reference to treatment and clinical course. At a mean follow-up of 5.5 years, 36 patients were examined physically and interviewed. Twenty-seven of them underwent additional pulmonary function tests. Kaplan–Meier method was used to calculate survival. Regression tests were undertaken to identify factors influencing the outcome. Results Postoperative complications were observed in 42.4%, but neither mesh implantation nor the size of the defect contributed significantly. The 5-year mortality was worse for patients with recurrent mamma carcinoma (90.6%) than for patients with soft tissue sarcoma (56.3%). No medical history or operation parameter (resection size and localization) besides the general patients’ conditions increased mortality. Pulmonary function parameters were only moderately reduced and not significantly affected by the resections’ size or its localization. Majority of patients suffer from sensation disorders and motion-dependent pain, which contributed significantly to hypoxemia. Quality-of-life parameters were significantly reduced compared to the healthy control group but similar to the control group with cancer according to the Short Form-36 protocol. We could not detect a relevant decrease in quality of life comparing post- to preoperative values. Conclusions Thoracic wall reconstruction provides sufficient thoracic wall stability to maintain pulmonary function, but postoperative pain and sensation disorders are considerable. However, chest wall repair can contribute to palliation and even cure after full-thickness resections. |
| abstractGer |
Purpose Thoracic wall reconstructions have become a standard procedure for the reconstructive plastic surgeon in the larger hospital setting, but detailed reports about long-term results including pulmonary function and physical examination are rare. Materials and methods The data of 92 consecutive patients with full thickness chest wall resections were acquired from patient’s charts and contact to patients, their relatives or general practitioners, with special reference to treatment and clinical course. At a mean follow-up of 5.5 years, 36 patients were examined physically and interviewed. Twenty-seven of them underwent additional pulmonary function tests. Kaplan–Meier method was used to calculate survival. Regression tests were undertaken to identify factors influencing the outcome. Results Postoperative complications were observed in 42.4%, but neither mesh implantation nor the size of the defect contributed significantly. The 5-year mortality was worse for patients with recurrent mamma carcinoma (90.6%) than for patients with soft tissue sarcoma (56.3%). No medical history or operation parameter (resection size and localization) besides the general patients’ conditions increased mortality. Pulmonary function parameters were only moderately reduced and not significantly affected by the resections’ size or its localization. Majority of patients suffer from sensation disorders and motion-dependent pain, which contributed significantly to hypoxemia. Quality-of-life parameters were significantly reduced compared to the healthy control group but similar to the control group with cancer according to the Short Form-36 protocol. We could not detect a relevant decrease in quality of life comparing post- to preoperative values. Conclusions Thoracic wall reconstruction provides sufficient thoracic wall stability to maintain pulmonary function, but postoperative pain and sensation disorders are considerable. However, chest wall repair can contribute to palliation and even cure after full-thickness resections. |
| abstract_unstemmed |
Purpose Thoracic wall reconstructions have become a standard procedure for the reconstructive plastic surgeon in the larger hospital setting, but detailed reports about long-term results including pulmonary function and physical examination are rare. Materials and methods The data of 92 consecutive patients with full thickness chest wall resections were acquired from patient’s charts and contact to patients, their relatives or general practitioners, with special reference to treatment and clinical course. At a mean follow-up of 5.5 years, 36 patients were examined physically and interviewed. Twenty-seven of them underwent additional pulmonary function tests. Kaplan–Meier method was used to calculate survival. Regression tests were undertaken to identify factors influencing the outcome. Results Postoperative complications were observed in 42.4%, but neither mesh implantation nor the size of the defect contributed significantly. The 5-year mortality was worse for patients with recurrent mamma carcinoma (90.6%) than for patients with soft tissue sarcoma (56.3%). No medical history or operation parameter (resection size and localization) besides the general patients’ conditions increased mortality. Pulmonary function parameters were only moderately reduced and not significantly affected by the resections’ size or its localization. Majority of patients suffer from sensation disorders and motion-dependent pain, which contributed significantly to hypoxemia. Quality-of-life parameters were significantly reduced compared to the healthy control group but similar to the control group with cancer according to the Short Form-36 protocol. We could not detect a relevant decrease in quality of life comparing post- to preoperative values. Conclusions Thoracic wall reconstruction provides sufficient thoracic wall stability to maintain pulmonary function, but postoperative pain and sensation disorders are considerable. However, chest wall repair can contribute to palliation and even cure after full-thickness resections. |
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Reconstruction of the thoracic wall—long-term follow-up including pulmonary function tests |
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Druecke, Daniel Hakimi, Mitra Duchna, Hans-Werner Goertz, Ole Homann, Heinz-Herbert Lehnhardt, Marcus Steinau, Hans-Ulrich |
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Druecke, Daniel Hakimi, Mitra Duchna, Hans-Werner Goertz, Ole Homann, Heinz-Herbert Lehnhardt, Marcus Steinau, Hans-Ulrich |
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| score |
7.3977537 |