دورية أكاديمية
Comprehensive Analysis of Chest Wall Resection: Indications, Reconstruction, and Results: A Systematic Review
| العنوان: | Comprehensive Analysis of Chest Wall Resection: Indications, Reconstruction, and Results: A Systematic Review |
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| المؤلفون: | Sourabh Nandi, Madiwalesh Chhebbi, Sunil Saini |
| المصدر: | Journal of Clinical and Diagnostic Research, Vol 18, Iss 03, Pp 01-06 (2024) |
| بيانات النشر: | JCDR Research and Publications Private Limited, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | chest wall neoplasms, complications, morbidity, artificial soft meshes, Medicine |
| الوصف: | Introduction: Chest wall neoplasms encompass primary, locally invasive, and metastatic tumours. Malignant chest wall tumours are typically uncommon, comprising roughly 5% of all thoracic neoplasms and 1 to 2% of all primary tumours. This systematic review addresses the imperative need for a comprehensive analysis of chest wall resection, focusing on indications, reconstruction techniques, and outcomes, to provide clinicians with evidence-based guidelines for optimal patient management. Aim: To comprehensively review indications for chest wall resection, explore reconstruction techniques, and analyse complications and outcomes associated with the procedure. Materials and Methods: A thorough electronic database search was performed on PUBMED Central, MeSH, NLM Catalog, Bookshelf, and PUBMED utilising the search terms “Chest wall,” “Chest wall Resection,” and “Chest wall Reconstruction.” Full-text articles published in English within a 20-year period (from 1999 to 2020) were selected based on pre-defined inclusion and exclusion criteria and subjected to analysis as per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for systematic reviews. Results: In total, 24 full-text records met the inclusion and exclusion criteria and underwent critical analysis for this systematic review. Chest wall sarcomas emerged as the primary indication for chest wall resection in the present study, with recurrent or locally advanced breast carcinoma also noted as significant causes. Various artificial soft meshes, notably Marlex or Goretex, were commonly employed for reconstruction, while soft-tissue coverage was achieved through various myocutaneous flaps, both pedicled and free. Respiratory complications predominated among the observed complications, with wound-related issues also documented. Conclusion: Patient selection is paramount in chest wall reconstruction, with the ideal method still under debate. However, prioritising minimal patient morbidity during reconstruction is crucial. Adherence to these principles can lead to better outcomes in terms of complications, survival, and quality of life, especially in appropriately selected patients. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2249-782X 0973-709X |
| Relation: | https://www.jcdr.net/articles/PDF/19176/67691_CE[Ra1]_F(IS)_PF1(AKA_RD_SS)_ref_pat_PFA(OM)_PN(KM).pdf; https://doaj.org/toc/2249-782X; https://doaj.org/toc/0973-709X |
| DOI: | 10.7860/JCDR/2024/67691.19176 |
| URL الوصول: | https://doaj.org/article/779c09ad06334d53969350a324f71d76 |
| رقم الأكسشن: | edsdoj.779c09ad06334d53969350a324f71d76 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 2249782X 0973709X |
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| DOI: | 10.7860/JCDR/2024/67691.19176 |