Reconstruction for lower extremity limb salvage in soft tissue carcinoma
Tóm tắt
Limb salvage procedures for the lower extremity have a 95% success rate and have essentially supplanted primary amputation as the primary treatment for limb-threatening malignancies. En bloc tumor resection involving major neural and vascular structures that once led to amputation are now successfully reconstructed using free-tissue transfer in combination with neoadjuvant and adjuvant chemoradiation therapies and brachytherapy. Planning for reconstruction of complex lower extremity wounds begins at the time of diagnosis and extends to postoperative rehabilitation. Developing a successful reconstructive plan requires a team approach with accurate assessment of the anticipated loss of critical structures, wound location, defect size, and an understanding of the local and distant tissues available for reconstruction. Comprehensive assessment of the anticipated wound combined with an understanding of the distant and local tissues available for reconstruction allows the reconstructive surgeon to select tissues from the entire body that have improved functional and aesthetic outcomes for patients.
Tài liệu tham khảo
citation_journal_title=Ann Surg Oncol; citation_title=Combined modality treatment of extremity soft tissue sarcomas; citation_author=PW Pisters; citation_volume=5; citation_publication_date=1998; citation_pages=464-472; citation_doi=10.1007/BF02303867; citation_id=CR1
citation_journal_title=Cancer; citation_title=Results of surgery and multimodal therapy for patients with soft tissue sarcoma invading to vascular structures; citation_author=P Hohenberger, JR Allenberg, P Sclag; citation_volume=85; citation_publication_date=1999; citation_pages=396-408; citation_doi=10.1002/(SICI)1097-0142(19990115)85:2<396::AID-CNCR18>3.0.CO;2-O; citation_id=CR2
citation_journal_title=Semin Surg Oncol; citation_title=Contemporary radiotherapy for soft tissue sarcoma; citation_author=JP Wylie, B O’Sullivan, C Catton; citation_volume=17; citation_publication_date=1999; citation_pages=33-33; citation_doi=10.1002/(SICI)1098-2388(199907/08)17:1<33::AID-SSU5>3.0.CO;2-N; citation_id=CR3
citation_journal_title=J Surg Oncol; citation_title=Predictors of functional outcomes following limb salvage surgery for lower-extremity soft tissue sarcoma; citation_author=AM Davis, S Sennik, AM Griffin; citation_volume=73; citation_publication_date=2000; citation_pages=206-211; citation_doi=10.1002/(SICI)1096-9098(200004)73:4<206::AID-JSO4>3.0.CO;2-5; citation_id=CR4
citation_journal_title=CA Cancer J Clin; citation_title=Limb salvage strategies to optimize quality of life: the MD Anderson Cancer Center experience; citation_author=AW Yasko, GP Reece, TA Gillis; citation_volume=47; citation_publication_date=1997; citation_pages=226-238; citation_doi=10.3322/canjclin.47.4.226; citation_id=CR5
citation_journal_title=Eur J Surg Oncol; citation_title=Radiation therapy for high-grade soft tissue sarcomas of the extremities treated with limb-preserving surgery; citation_author=CP Karakousis, GC Zografos; citation_volume=28; citation_publication_date=2002; citation_pages=431-436; citation_doi=10.1053/ejso.2002.1264; citation_id=CR6
citation_journal_title=Ann Plast Surg; citation_title=Sciatic nerve reconstruction: limb preservation after sarcoma resection; citation_author=M Melendez, K Brandt, GR Evans; citation_volume=46; citation_publication_date=2001; citation_pages=375-381; citation_doi=10.1097/00000637-200104000-00004; citation_id=CR7
citation_journal_title=Plast Reconstr Surg; citation_title=A prospective study of microvascular free flap surgery and out-come; citation_author=RK Khouri, BC Cooley, AR Kunselman; citation_volume=102; citation_publication_date=1998; citation_pages=711-721; citation_doi=10.1097/00006534-199809030-00015; citation_id=CR8
citation_journal_title=Br J Plast Surg; citation_title=Free tissue transfer in patients with systemic lupus erythematous; citation_author=A Raurell, OM Austin, V Ramakrishnan; citation_volume=53; citation_publication_date=1999; citation_pages=77-79; citation_doi=10.1054/bjps.1999.3190; citation_id=CR9
citation_journal_title=Plast Reconstr Surg; citation_title=No correlation between activated protein C resistance and free flap failures in 100 consecutive patients; citation_author=G Amljots, T Soderstrom, H Svensson; citation_volume=101; citation_publication_date=1998; citation_pages=1850-1853; citation_doi=10.1097/00006534-199806000-00011; citation_id=CR10
citation_journal_title=Plast Reconstr Surg; citation_title=Routine donor leg angiography before vascularized free fibula transplantation is not necessary: a prospective study in 120 clinical cases; citation_author=BS Lutz, FC Wei, SH Ng; citation_volume=103; citation_publication_date=1999; citation_pages=121-127; citation_doi=10.1097/00006534-199901000-00019; citation_id=CR11
citation_journal_title=J Reconstr Microsurg; citation_title=Indications and limitations of angiography before free flap transplantation to the distal lower leg after trauma: prospective study in 36 patients; citation_author=BS Lutz, FC Wei, HG Machens; citation_volume=16; citation_publication_date=2000; citation_pages=187-191; citation_doi=10.1055/s-2000-7550; citation_id=CR12
citation_journal_title=Head Neck; citation_title=Preoperative magnetic resonance angiography in fibular free flap reconstruction of head and neck defects; citation_author=RR Lorenz, R Esclamado; citation_volume=23; citation_publication_date=2001; citation_pages=844-850; citation_doi=10.1002/hed.1123; citation_id=CR13
citation_journal_title=Plast Reconstr Surg; citation_title=The vascular supply of the extended tensor fasciae latae flap: how far can the skin paddle extend?; citation_author=A Gosain, JG Yan, A Mustafa; citation_volume=110; citation_publication_date=2002; citation_pages=1655-1661; citation_doi=10.1097/00006534-200212000-00005; citation_id=CR14
citation_journal_title=J Reconstr Microsurg; citation_title=Rectus abdominis free-tissue transfer in lower extremity reconstruction: review of 40 cases; citation_author=R Musharafieh, G Macari, S Hayek; citation_volume=16; citation_publication_date=2000; citation_pages=341-345; citation_doi=10.1055/s-2000-7343; citation_id=CR15
citation_journal_title=Plast Reconstr Surg; citation_title=Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps; citation_author=FC Wei, V Jain, N Celik; citation_volume=109; citation_publication_date=2002; citation_pages=2219-2226; citation_doi=10.1097/00006534-200206000-00007; citation_id=CR16
citation_journal_title=Plast Reconstr Surg; citation_title=Anterolateral thigh flap donor-site complications and morbidity; citation_author=Y Kimata, K Uchiyama, S Ebihara; citation_volume=106; citation_publication_date=2000; citation_pages=584-589; citation_doi=10.1097/00006534-200009030-00009; citation_id=CR17
citation_journal_title=Ann Plast Surg; citation_title=Limb salvage of lower-extremity wounds using free gracilis muscle reconstruction; citation_author=R Redett, B Robertson, B Chang; citation_volume=46; citation_publication_date=2001; citation_pages=336-339; citation_doi=10.1097/00000637-200103000-00023; citation_id=CR18
citation_journal_title=Ann Plast Surg; citation_title=Multiple-component tissue reconstruction of a complex dorsal foot wound through a single gracilis muscle donor incision; citation_author=EG Deune, AP Tufaro, PN Manson; citation_volume=46; citation_publication_date=2001; citation_pages=336-339; citation_doi=10.1097/00000637-200103000-00023; citation_id=CR19
citation_journal_title=Cancer; citation_title=The national cancer data base report on soft tissue sarcoma; citation_author=RE Pollock, LH Karnell, HR Menck; citation_volume=78; citation_publication_date=1996; citation_pages=2247-2257; citation_doi=10.1002/(SICI)1097-0142(19961115)78:10<2247::AID-CNCR29>3.0.CO;2-Y; citation_id=CR20
citation_journal_title=Plast Reconstr Surg; citation_title=Widely split latissimus dorsi muscle flaps for reconstruction of long soft-tissue defects in lower extremities; citation_author=CH Lin, FC Wei; citation_volume=105; citation_publication_date=2000; citation_pages=706-709; citation_doi=10.1097/00006534-200002000-00036; citation_id=CR21
citation_journal_title=Plast Reconstr Surg; citation_title=Anatomic study of the distally based vastus lateralis muscle flap; citation_author=Y Wang, T Begue, AC Masquelet; citation_volume=103; citation_publication_date=1999; citation_pages=101-103; citation_doi=10.1097/00006534-199901000-00017; citation_id=CR22
citation_journal_title=Plast Reconstr Surg; citation_title=The inferiorly based gastrocnemius muscle flap: anatomic aspects; citation_author=CH Tsetsonis, OS Kaxira, DH Laoulakos; citation_volume=106; citation_publication_date=2000; citation_pages=1312-1315; citation_doi=10.1097/00006534-200011000-00012; citation_id=CR23
citation_journal_title=Plast Reconstr Surg; citation_title=A realistic complication analysis of 70 sural artery flaps in a multimorbid patient group; citation_author=S Baumeister, R Spierer, D Erdmann; citation_volume=112; citation_publication_date=2003; citation_pages=129-140; citation_doi=10.1097/01.PRS.0000066167.68966.66; citation_id=CR24
citation_journal_title=Plast Reconstr Surg; citation_title=Versatility and reliability of combined flaps of the subscapular system; citation_author=G Germann, B Bickert, H Steinau; citation_volume=103; citation_publication_date=1999; citation_pages=1386-1399; citation_doi=10.1097/00006534-199904050-00007; citation_id=CR25
citation_journal_title=Ann Plast Surg; citation_title=Various applications of the medical plantar flap to cover the defects of the plantar foot, posterior heel, and ankle; citation_author=C Acikel, B Celikoz, F Yuksel; citation_volume=50; citation_publication_date=2003; citation_pages=498-503; citation_doi=10.1097/01.SAP.0000044141.35292.A7; citation_id=CR26
citation_journal_title=Plast Reconstr Surg; citation_title=Foot and ankle reconstruction using the radial forearm flap: a review of 25 cases; citation_author=N Weinzweig, B Davies; citation_volume=102; citation_publication_date=1998; citation_pages=1999-2005; citation_doi=10.1097/00006534-199811000-00029; citation_id=CR27
citation_journal_title=J Reconstr Microsurg; citation_title=Distally planned lateral arm flap in the reconstruction of the posterior aspect of the ankle; citation_author=BC Coessens, JV Berthe; citation_volume=18; citation_publication_date=2002; citation_pages=321-321; citation_id=CR28
citation_journal_title=Plast Reconstr Surg; citation_title=Limb salvage for soft-tissue malignancies of the foot: an evaluation of free-tissue transfer; citation_author=HN Langstein, DW Chang, MJ Miller; citation_volume=109; citation_publication_date=2002; citation_pages=152-159; citation_doi=10.1097/00006534-200201000-00025; citation_id=CR29