What should be paid attention to in the operation of chest wall tumor?

summary

Many patients with chest wall tumor want to treat their disease immediately, so it is very important to find a good surgical plan. At the same time, experts told us that in the process of treatment, there are some precautions we must understand, so as to ensure the smooth operation. Therefore, in this article, our experts will give a detailed introduction to the operation of chest wall tumor.

What should be paid attention to in the operation of chest wall tumor?

The operation of chest wall tumor should be based on the principle of whole resection. The range of resection should be more than 5cm from the edge of the tumor, with a normal rib and periosteum, including the invaded superficial muscle, parietal pleura, intercostal tissue and its neurovascular, region 1 and lymph nodes. If it is a second operation, the scar should be removed together with the surrounding normal tissue. If the lesion has invaded the lung, appropriate lobectomy or partial lobectomy can be performed at the same time.

The tumors in the upper part of the chest wall involve the clavicle, scapula and large thick muscles, and are easy to invade the subclavian blood vessels and brachial plexus. When it is difficult to remove, part of the clavicle can be removed to expose the tumors in the anterior chest wall. The tumor above the chest wall can be resected by thoracoplasty or through the anterolateral incision of the third intercostal space.

The purpose of chest wall defect is to close the chest and fix the chest wall. Skin and soft tissue defects can be filled with pedicled flap, muscle flap and breast tissue. Bone defect can be repaired by self rib and fascia lata, or by artificial materials including metal mesh, steel needle, polyester cloth and Marlex mesh, among which the latter is the most ideal. Partial or total defect of sternum can be repaired by closing the pectoralis major muscles of both sides in the midline.

matters needing attention

In the diet should eat more fresh vegetables and fruits, eat more food rich in protein and vitamins, quit smoking and limit alcohol, do not eat too much salty and spicy food, do not eat expired and deteriorated food, do not eat contaminated food, such as polluted water, crops, poultry, fish eggs, moldy food, etc.