胸壁肿瘤切除及胸壁重建手术中国专家共识（2018 版）_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 中国医师协会胸外科医师分会

Corresponding author：

中国医师协会胸外科医师分会, Email: lxfchest@fmmu.edu.cn; hljyxq@fmmu.edu.cn

Keywords：

胸壁肿瘤切除; 胸壁重建; 专家共识

DOI：

10.7507/1007-4848.201809058

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Citation： 中国医师协会胸外科医师分会. 胸壁肿瘤切除及胸壁重建手术中国专家共识（2018 版）. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(1): 1-7. doi: 10.7507/1007-4848.201809058 Copy

1.	Faber LP, Somers J, Templeton AC, et al. Chest wall tumors. Curr Probl Surg, 1995, 32(8): 661-747.
2.	Smith SE, Keshavjee S. Primary chest wall tumors. Thorac Surg Clin, 2010, 20(4): 495-507.
3.	Khullar OV, Fernandez FG. Prosthetic reconstruction of the chest wall. Thorac Surg Clin, 2017, 27(2): 201-208.
4.	Hsu PK, Hsu HS, Lee HC, et al. Management of primary chest wall tumors: 14 years’clinical experience. J Chin Med Assoc, 2006, 69(8): 377-382.
5.	Dang NC, Siegel SE, Phillips JD, et al. Malignant chest wall tumors in children and young adults. J Pediatr Surg, 1999, 34(12): 1773-1778.
6.	Chapelier A, Macchiarini P, Rietjens M, et al. Chest wall reconstruction following resection of large primary malignant tumors. Eur J Cardiothorac Surg, 1994, 8(7): 351-356.
7.	Soysal O, Walsh GL, Nesbitt JC, et al. Resection of sternal tumors: extent, reconstruction, and survival. Ann Thorac Surg, 1995, 60(5): 1353-1358.
8.	Kim S, Lee S, Arsenault DA, et al. Pediatric rib lesions: a 13-year experience. J Pediatr Surg, 2008, 43(10): 1781-1785.
9.	Aydoğdu K, Findik G, Agackiran Y, et al. Primary tumors of the ribs; experience with 78 patients. Interact Cardiovasc Thorac Surg, 2009, 9(2): 251-254.
10.	Tateishi U, Gladish GW, Kusumoto M, et al. Chest wall tumors: radiologic findings and pathologic correlation: part 1. Benign tumors. Radiographics, 2003, 23(6): 1477-1490.
11.	Deschamps C, Tirnaksiz BM, Darbandi R, et al. Early and long-term results of prosthetic chest wall reconstruction. J Thorac Cardiovasc Surg, 1999, 117(3): 588-591.
12.	Mansour KA, Thourani VH, Losken A, et al. Chest wall resections and reconstruction: a 25-year experience. Ann Thorac Surg, 2002, 73(6): 1720-1726.
13.	Weyant MJ, Bains MS, Venkatraman E, et al. Results of chest wall resection and reconstruction with and without rigid prosthesis. Ann Thorac Surg, 2006, 81(1): 279-285.
14.	孙玉鄂, 王天佑, 主编. 临床技术操作规范胸外科分册. 第1版. 北京: 人民军医出版社, 2009. 24-26.
15.	石美鑫, 主编. 实用外科学. 第2版. 北京: 人民卫生出版社, 2002. 1804-1808.
16.	NCCN. NCCN clinical practice guidelines in Oncology: Soft Tissue Sarcoma(Version 1.2018).Fort Washington: NCCN. 2017.10.21. https://www.nccn.org.
17.	NCCN. NCCN clinical practice guidelines in Oncology: bone cancer(Version 1.2018).Fort Washington: NCCN. 2017.08.29. https://www.nccn.org.
18.	Ersöz E, Evman S, Alpay L, et al. Chondrosarcoma of the anterior chest wall: surgical resection and reconstruction with titanium mesh. J Thorac Dis, 2014, 6(10): E230-E233.
19.	师英强. 软组织肉瘤诊治中国专家共识 (2015 年版). 中华肿瘤杂志, 2016, 38(4): 310-313.
20.	郭卫, 牛晓辉, 肖建如, 等. 骨肉瘤临床循证诊疗指南. 中华骨与关节外科杂志, 2018, 11(4): 288-301.
21.	CP HR. General Principles of Tumors. In Canale ST (ed). Philadelphis, PA: Mosby, 2003. 733-792.
22.	Gitelis S MM. Principles of Limb Salvage Surgery (ed). Philadelphia, PA: Lippincott Williams and Wikins, 2001.
23.	Dineen JP, Boltax RS. Problems in the management of chest wall tumor. J Thorac Cardiovasc Surg, 1966, 52(4): 588-594.
24.	Beardsley JM. The use of tantalum plate when resecting large areas of the chest wall. J Thorac Surg, 1950, 19(3): 444-455.
25.	Zhang Y, Li JZ, Hao YJ, et al. Sternal tumor resection and reconstruction with titanium mesh: a preliminary study. Orthop Surg, 2015, 7(2): 155-160.
26.	Wiegmann B, Zardo P, Dickgreber N, et al. Biological materials in chest wall reconstruction: initial experience with the Peri-Guard Repair Patch. Eur J Cardiothorac Surg, 2010, 37(3): 602-605.
27.	Barua A, Catton JA, Socci L, et al. Initial experience with the use of biological implants for soft tissue and chest wall reconstruction in thoracic surgery. Ann Thorac Surg, 2012, 94(5): 1701-1705.
28.	Noiset O, Schneider YJ, Marchand-Brynaert J. Fibronectin adsorption or/and covalent grafting on chemically modified PEEK film surfaces. J Biomater Sci Polym Ed, 1999, 10(6): 657-677.
29.	Att W, Hori N, Iwasa F, et al. The effect of UV-photofunctionalization on the time-related bioactivity of titanium and chromium-cobalt alloys. Biomater, 2009, 30(26): 4268-4276.
30.	Echeverry-Rendón M, Galvis O, Aguirre R, et al. Modification of titanium alloys surface properties by plasma electrolytic oxidation (PEO) and influence on biological response. J Mater Sci Mater Med, 2017, 28(11): 169.
31.	Wang L, Huang L, Li X, et al. Three dimensional printing PEEK implant: a novel choice for reconstruction of chest wall defect. Ann Thorac Surg, 2018. DOI: 10.1016/j.athoracsur.2018.09.044.
32.	Voss B, Bauernschmitt R, Will A, et al. Sternal reconstruction with titanium plates in complicated sternal dehiscence. Eur J Cardiothorac Surg, 2008, 34(1): 139-145.
33.	Berthet JP, Canaud L, D’Annoville T, et al. Titanium plates and Dualmesh: a modern combination for reconstructing very large chest wall defects. Ann Thorac Surg, 2011, 91(6): 1709-1716.
34.	Girotti P, Leo F, Bravi F, et al. The "rib-like" technique for surgical treatment of sternal tumors: lessons learned from 101 consecutive cases. Ann Thorac Surg, 2011, 92(4): 1208-1215.
35.	Wang L, Cao T, Li X, et al. Three-dimensional printing titanium ribs for complex reconstruction after extensive posterolateral chest wall resection in lung cancer. J Thorac Cardiovasc Surg, 2016, 152(1): e5-e7.
36.	Aranda JL, Jiménez MF, Rodríguez M, et al. Tridimensional titanium-printed custom-made prosthesis for sternocostal reconstruction. Eur J Cardiothorac Surg, 2015, 48(4): e92-e94.
37.	Moradiellos J, Amor S, Córdoba M, et al. Functional chest wall reconstruction with a biomechanical three-dimensionally printed implant. Ann Thorac Surg, 2017, 103(4): e389-e391.
38.	Simal I, García-Casillas MA, Cerdá JA, et al. Three-dimensional custom-made titanium ribs for reconstruction of a large chest wall defect. Eur J Pediatr Surg Rep, 2016, 4(1): 26-30.
39.	Kang J, Wang L, Yang C, et al. Custom design and biomechanical analysis of 3D-printed PEEK rib prostheses. Biomech Model Mechanobiol, 2018, 17(4): 1083-1092.
40.	McGilvray KC, Easley J, Seim HB, et al. Bony ingrowth potential of 3D-printed porous titanium alloy: a direct comparison of interbody cage materials in an in vivo ovine lumbar fusion model. Spine J, 2018, 18(7): 1250-1260.
41.	Oron A, Agar G, Oron U, et al. Correlation between rate of bony ingrowth to stainless steel, pure titanium, and titanium alloy implants in vivo and formation of hydroxyapatite on their surfaces in vitro. J Biomed Mater Res A, 2009, 91(4): 1006-1009.
42.	Kurtz SM, Devine JN. PEEK biomaterials in trauma, orthopedic, and spinal implants. Biomaterials, 2007, 28(32): 4845-4869.
43.	Shoham Y, Koretz M, Kachko L, et al. Immediate reconstruction of the chest wall by latissimus dorsi and vertical rectus abdominis musculocutaneous flaps after radical mastectomy for a huge pleomorphic liposarcoma. J Plast Surg Hand Surg, 2013, 47(2): 152-154.
44.	Seki M. Chest wall reconstruction with a latissimus dorsi musculocutaneous flap via the pleural cavity. Interact Cardiovasc Thorac Surg, 2012, 14(1): 96-98.
45.	Carbone M, Pastorino U. urgical treatment of chest wall tumors. World J Surg, 2001, 25(2): 218-230.
46.	Arnold PG, Pairolero PC. Chest-wall reconstruction: an account of 500 consecutive patients. Plast Reconstr Surg, 1996, 98(5): 804-810.
47.	Lans TE, van der Pol C, Wouters MW, et al. Complications in wound healing after chest wall resection in cancer patients; a multivariate analysis of 220 patients. J Thorac Oncol, 2009, 4(5): 639-643.
48.	McKenna RJ Jr, Mountain CF, McMurtrey MJ, et al. Current techniques for chest wall reconstruction: expanded possibilities for treatment. Ann Thorac Surg, 1988, 46(5): 508-512.
49.	Berthet JP, Gomez Caro A, Solovei L, et al. Titanium implant failure after chest wall osteosynthesis. Ann Thorac Surg, 2015, 99(6): 1945-1952.
50.	Hazel K, Weyant MJ. Chest wall resection and reconstruction: management of complications. Thorac Surg Clin, 2015, 25(4): 517-521.

1. Faber LP, Somers J, Templeton AC, et al. Chest wall tumors. Curr Probl Surg, 1995, 32(8): 661-747.
2. Smith SE, Keshavjee S. Primary chest wall tumors. Thorac Surg Clin, 2010, 20(4): 495-507.
3. Khullar OV, Fernandez FG. Prosthetic reconstruction of the chest wall. Thorac Surg Clin, 2017, 27(2): 201-208.
4. Hsu PK, Hsu HS, Lee HC, et al. Management of primary chest wall tumors: 14 years’clinical experience. J Chin Med Assoc, 2006, 69(8): 377-382.
5. Dang NC, Siegel SE, Phillips JD, et al. Malignant chest wall tumors in children and young adults. J Pediatr Surg, 1999, 34(12): 1773-1778.
6. Chapelier A, Macchiarini P, Rietjens M, et al. Chest wall reconstruction following resection of large primary malignant tumors. Eur J Cardiothorac Surg, 1994, 8(7): 351-356.
7. Soysal O, Walsh GL, Nesbitt JC, et al. Resection of sternal tumors: extent, reconstruction, and survival. Ann Thorac Surg, 1995, 60(5): 1353-1358.
8. Kim S, Lee S, Arsenault DA, et al. Pediatric rib lesions: a 13-year experience. J Pediatr Surg, 2008, 43(10): 1781-1785.
9. Aydoğdu K, Findik G, Agackiran Y, et al. Primary tumors of the ribs; experience with 78 patients. Interact Cardiovasc Thorac Surg, 2009, 9(2): 251-254.
10. Tateishi U, Gladish GW, Kusumoto M, et al. Chest wall tumors: radiologic findings and pathologic correlation: part 1. Benign tumors. Radiographics, 2003, 23(6): 1477-1490.
11. Deschamps C, Tirnaksiz BM, Darbandi R, et al. Early and long-term results of prosthetic chest wall reconstruction. J Thorac Cardiovasc Surg, 1999, 117(3): 588-591.
12. Mansour KA, Thourani VH, Losken A, et al. Chest wall resections and reconstruction: a 25-year experience. Ann Thorac Surg, 2002, 73(6): 1720-1726.
13. Weyant MJ, Bains MS, Venkatraman E, et al. Results of chest wall resection and reconstruction with and without rigid prosthesis. Ann Thorac Surg, 2006, 81(1): 279-285.
14. 孙玉鄂, 王天佑, 主编. 临床技术操作规范胸外科分册. 第1版. 北京: 人民军医出版社, 2009. 24-26.
15. 石美鑫, 主编. 实用外科学. 第2版. 北京: 人民卫生出版社, 2002. 1804-1808.
16. NCCN. NCCN clinical practice guidelines in Oncology: Soft Tissue Sarcoma(Version 1.2018).Fort Washington: NCCN. 2017.10.21. https://www.nccn.org.
17. NCCN. NCCN clinical practice guidelines in Oncology: bone cancer(Version 1.2018).Fort Washington: NCCN. 2017.08.29. https://www.nccn.org.
18. Ersöz E, Evman S, Alpay L, et al. Chondrosarcoma of the anterior chest wall: surgical resection and reconstruction with titanium mesh. J Thorac Dis, 2014, 6(10): E230-E233.
19. 师英强. 软组织肉瘤诊治中国专家共识 (2015 年版). 中华肿瘤杂志, 2016, 38(4): 310-313.
20. 郭卫, 牛晓辉, 肖建如, 等. 骨肉瘤临床循证诊疗指南. 中华骨与关节外科杂志, 2018, 11(4): 288-301.
21. CP HR. General Principles of Tumors. In Canale ST (ed). Philadelphis, PA: Mosby, 2003. 733-792.
22. Gitelis S MM. Principles of Limb Salvage Surgery (ed). Philadelphia, PA: Lippincott Williams and Wikins, 2001.
23. Dineen JP, Boltax RS. Problems in the management of chest wall tumor. J Thorac Cardiovasc Surg, 1966, 52(4): 588-594.
24. Beardsley JM. The use of tantalum plate when resecting large areas of the chest wall. J Thorac Surg, 1950, 19(3): 444-455.
25. Zhang Y, Li JZ, Hao YJ, et al. Sternal tumor resection and reconstruction with titanium mesh: a preliminary study. Orthop Surg, 2015, 7(2): 155-160.
26. Wiegmann B, Zardo P, Dickgreber N, et al. Biological materials in chest wall reconstruction: initial experience with the Peri-Guard Repair Patch. Eur J Cardiothorac Surg, 2010, 37(3): 602-605.
27. Barua A, Catton JA, Socci L, et al. Initial experience with the use of biological implants for soft tissue and chest wall reconstruction in thoracic surgery. Ann Thorac Surg, 2012, 94(5): 1701-1705.
28. Noiset O, Schneider YJ, Marchand-Brynaert J. Fibronectin adsorption or/and covalent grafting on chemically modified PEEK film surfaces. J Biomater Sci Polym Ed, 1999, 10(6): 657-677.
29. Att W, Hori N, Iwasa F, et al. The effect of UV-photofunctionalization on the time-related bioactivity of titanium and chromium-cobalt alloys. Biomater, 2009, 30(26): 4268-4276.
30. Echeverry-Rendón M, Galvis O, Aguirre R, et al. Modification of titanium alloys surface properties by plasma electrolytic oxidation (PEO) and influence on biological response. J Mater Sci Mater Med, 2017, 28(11): 169.
31. Wang L, Huang L, Li X, et al. Three dimensional printing PEEK implant: a novel choice for reconstruction of chest wall defect. Ann Thorac Surg, 2018. DOI: 10.1016/j.athoracsur.2018.09.044.
32. Voss B, Bauernschmitt R, Will A, et al. Sternal reconstruction with titanium plates in complicated sternal dehiscence. Eur J Cardiothorac Surg, 2008, 34(1): 139-145.
33. Berthet JP, Canaud L, D’Annoville T, et al. Titanium plates and Dualmesh: a modern combination for reconstructing very large chest wall defects. Ann Thorac Surg, 2011, 91(6): 1709-1716.
34. Girotti P, Leo F, Bravi F, et al. The "rib-like" technique for surgical treatment of sternal tumors: lessons learned from 101 consecutive cases. Ann Thorac Surg, 2011, 92(4): 1208-1215.
35. Wang L, Cao T, Li X, et al. Three-dimensional printing titanium ribs for complex reconstruction after extensive posterolateral chest wall resection in lung cancer. J Thorac Cardiovasc Surg, 2016, 152(1): e5-e7.
36. Aranda JL, Jiménez MF, Rodríguez M, et al. Tridimensional titanium-printed custom-made prosthesis for sternocostal reconstruction. Eur J Cardiothorac Surg, 2015, 48(4): e92-e94.
37. Moradiellos J, Amor S, Córdoba M, et al. Functional chest wall reconstruction with a biomechanical three-dimensionally printed implant. Ann Thorac Surg, 2017, 103(4): e389-e391.
38. Simal I, García-Casillas MA, Cerdá JA, et al. Three-dimensional custom-made titanium ribs for reconstruction of a large chest wall defect. Eur J Pediatr Surg Rep, 2016, 4(1): 26-30.
39. Kang J, Wang L, Yang C, et al. Custom design and biomechanical analysis of 3D-printed PEEK rib prostheses. Biomech Model Mechanobiol, 2018, 17(4): 1083-1092.
40. McGilvray KC, Easley J, Seim HB, et al. Bony ingrowth potential of 3D-printed porous titanium alloy: a direct comparison of interbody cage materials in an in vivo ovine lumbar fusion model. Spine J, 2018, 18(7): 1250-1260.
41. Oron A, Agar G, Oron U, et al. Correlation between rate of bony ingrowth to stainless steel, pure titanium, and titanium alloy implants in vivo and formation of hydroxyapatite on their surfaces in vitro. J Biomed Mater Res A, 2009, 91(4): 1006-1009.
42. Kurtz SM, Devine JN. PEEK biomaterials in trauma, orthopedic, and spinal implants. Biomaterials, 2007, 28(32): 4845-4869.
43. Shoham Y, Koretz M, Kachko L, et al. Immediate reconstruction of the chest wall by latissimus dorsi and vertical rectus abdominis musculocutaneous flaps after radical mastectomy for a huge pleomorphic liposarcoma. J Plast Surg Hand Surg, 2013, 47(2): 152-154.
44. Seki M. Chest wall reconstruction with a latissimus dorsi musculocutaneous flap via the pleural cavity. Interact Cardiovasc Thorac Surg, 2012, 14(1): 96-98.
45. Carbone M, Pastorino U. urgical treatment of chest wall tumors. World J Surg, 2001, 25(2): 218-230.
46. Arnold PG, Pairolero PC. Chest-wall reconstruction: an account of 500 consecutive patients. Plast Reconstr Surg, 1996, 98(5): 804-810.
47. Lans TE, van der Pol C, Wouters MW, et al. Complications in wound healing after chest wall resection in cancer patients; a multivariate analysis of 220 patients. J Thorac Oncol, 2009, 4(5): 639-643.
48. McKenna RJ Jr, Mountain CF, McMurtrey MJ, et al. Current techniques for chest wall reconstruction: expanded possibilities for treatment. Ann Thorac Surg, 1988, 46(5): 508-512.
49. Berthet JP, Gomez Caro A, Solovei L, et al. Titanium implant failure after chest wall osteosynthesis. Ann Thorac Surg, 2015, 99(6): 1945-1952.
50. Hazel K, Weyant MJ. Chest wall resection and reconstruction: management of complications. Thorac Surg Clin, 2015, 25(4): 517-521.

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Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

胸壁肿瘤切除及胸壁重建手术中国专家共识（2018 版）

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