The Journal of Thoracic and Cardiovascular Surgery
Thoracic: Chest WallThe contribution of microvascular free flaps and pedicled flaps to successful chest wall surgery
Graphical abstract
Section snippets
Study Population and Data Collection
We retrospectively reviewed all patients who underwent chest wall resection in the Thoracic Surgery Service at Memorial Sloan Kettering Cancer Center from January 1, 2000, to April 30, 2022. Patients who did not receive myocutaneous flap reconstruction were excluded (n = 403) (Figure E1). The remaining patients were stratified on the basis of the type of flap that was used for reconstruction (MVFF or PF). Data on demographic characteristics (age, sex, race, smoking status, Eastern Cooperative
Results
From January 1, 2000, to April 30, 2022, 536 patients underwent full-thickness chest wall resection at our institution. Myocutaneous flaps were used to reconstruct soft-tissue defects in 133 patients (25% of the total cohort), of whom 28 (21%) received MVFFs and 105 (79%) received PFs. Table 1 summarizes the indications for MVFF reconstruction in our cohort. Table 2 lists the demographic characteristics of the study patients. The patient population predominantly consisted of women (n = 102
Discussion
In this study, we sought to investigate the safety of MVFF in the setting of chest wall reconstruction after extensive resection (Figure 1). However, it has to be emphasized that the indications for MVFF differ from those for PF, as summarized in Table 1. MVFFs are selected for use in reconstructions after careful multidisciplinary planning that takes into consideration clinical information, medical history, performance status, defect size, the local condition of the surgical field, oncologic
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This work was supported, in part, by National Institutes of Health/National Cancer Institute Cancer Center Support Grant P30 CA008748.