RICOSTRUZIONE DI DIFETTI A TUTTO SPESSORE DELLA PARETE TORACICA DOPO EXERESI ALLARGATA IN PAZIENTI ONCOLOGICI

This report studies two groups of 5 patients each submitted to full thickness exeresis of the thoracic wall for primitive or secondary neoplasia and immediate reconstruction with a latissimus dorsi or rectus abdominis musculocutaneous limbus. The skeletal deficit has been mended by different techniques, which came out variably effectual. The type of musculocutaneous limbus used did not significantly influence the surgical outcome. Both the surgical duration and the rate of complications bound to the limbus resulted to be roughly overlapping. Therefore, both limbi can be regarded as a first choice way of reconstructing full-thickness substance losses of the thoracic wall, even though the use of the latissimus dorsi is perhaps more suitable to redress the defects of the axillary and lateral thoracic areas, whereas the rectus ideally fits the sternal and anterior thoracic defects.