Researchers from Ruhr University, Sarcoma Reference Center report on findings in sarcoma
2009 JUL 14 - (NewsRx.com) -- According to recent research published in the journal Langenbecks Archives of Surgery, "Thoracic wall reconstructions have become a standard procedure for the reconstructive plastic surgeon in the larger hospital setting, but detailed reports about long-term results including pulmonary function and physical examination are rare. The data of 92 consecutive patients with full thickness chest wall resections were acquired from patient's charts and contact to patients, their relatives or general practitioners, with special reference to treatment and clinical course." "At a mean follow-up of 5.5 years, 36 patients were examined physically and interviewed. Twenty-seven of them underwent additional pulmonary function tests. Kaplan-Meier method was used to calculate survival. Regression tests were undertaken to identify factors influencing the outcome. Postoperative complications were observed in 42.4%, but neither mesh implantation nor the size of the defect contributed significantly. The 5-year mortality was worse for patients with recurrent mamma carcinoma (90.6%) than for patients with soft tissue sarcoma (56.3%). No medical history or operation parameter (resection size and localization) besides the general patients' conditions increased mortality. Pulmonary function parameters were only moderately reduced and not significantly affected by the resections' size or its localization. Majority of patients suffer from sensation disorders and motion-dependent pain, which contributed significantly to hypoxemia. Quality-of-life parameters were significantly reduced compared to the healthy control group but similar to the control group with cancer according to the Short Form-36 protocol. We could not detect a relevant decrease in quality of life comparing post- to preoperative values. Thoracic wall reconstruction provides sufficient thoracic wall stability to maintain pulmonary function, but postoperative pain and sensation disorders are considerable," wrote A. Daigeler and colleagues, Ruhr University, Sarcoma Reference Center. The researchers concluded: "However, chest wall repair can contribute to palliation and even cure after full-thickness resections." Daigeler and colleagues published their study in Langenbecks Archives of Surgery (Reconstruction of the thoracic wall-long-term follow-up including pulmonary function tests. Langenbecks Archives of Surgery, 2009;394(4):705-715). For additional information, contact A. Daigeler, Ruhr University of Bochum, BG University Hospital Bergmannsheil, Sarcoma Reference Center, Burn Center, Dept. of Plast Surgery, Buerkle de la Camp Pl 1, D-44789 Bochum, Germany. The publisher's contact information for the journal Langenbecks Archives of Surgery is: Springer, 233 Spring St., New York, NY 10013, USA. Keywords: Germany, Bochum, Carcinoma, Oncology, Postoperative Complications, Sarcoma, Surgery, Ruhr University, Sarcoma Reference Center. This article was prepared by Cancer Weekly editors from staff and other reports. Copyright 2009, Cancer Weekly via NewsRx.com.
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