Lower extremity salvage after radical resection of malignant tumors in the groin and lower abdominal wall.
Identifieur interne : 004F70 ( PubMed/Corpus ); précédent : 004F69; suivant : 004F71Lower extremity salvage after radical resection of malignant tumors in the groin and lower abdominal wall.
Auteurs : G P Reece ; T A Gillis ; R E PollockSource :
- Journal of the American College of Surgeons [ 1072-7515 ] ; 1997.
English descriptors
- KwdEn :
- MESH :
- etiology : Postoperative Complications.
- methods : Surgical Flaps.
- surgery : Abdominal Muscles, Groin, Neoplasms.
- Adolescent, Adult, Aged, Amputation, Female, Humans, Male, Middle Aged, Retrospective Studies.
Abstract
Resection of a large malignant tumor in the groin often leaves a substantial soft-tissue defect that makes wound closure difficult. Nevertheless, palliation and lower extremity salvage is frequently possible if the tumor is widely excised and the wound closed with well-vascularized tissue; however, few data are available on patients undergoing such procedures.
PubMed: 9291404
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Lower extremity salvage after radical resection of malignant tumors in the groin and lower abdominal wall.</title><author><name sortKey="Reece, G P" sort="Reece, G P" uniqKey="Reece G" first="G P" last="Reece">G P Reece</name><affiliation><nlm:affiliation>Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center, Houston 77030, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Gillis, T A" sort="Gillis, T A" uniqKey="Gillis T" first="T A" last="Gillis">T A Gillis</name></author><author><name sortKey="Pollock, R E" sort="Pollock, R E" uniqKey="Pollock R" first="R E" last="Pollock">R E Pollock</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1997">1997</date><idno type="RBID">pubmed:9291404</idno><idno type="pmid">9291404</idno><idno type="wicri:Area/PubMed/Corpus">004F70</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">004F70</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Lower extremity salvage after radical resection of malignant tumors in the groin and lower abdominal wall.</title><author><name sortKey="Reece, G P" sort="Reece, G P" uniqKey="Reece G" first="G P" last="Reece">G P Reece</name><affiliation><nlm:affiliation>Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center, Houston 77030, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Gillis, T A" sort="Gillis, T A" uniqKey="Gillis T" first="T A" last="Gillis">T A Gillis</name></author><author><name sortKey="Pollock, R E" sort="Pollock, R E" uniqKey="Pollock R" first="R E" last="Pollock">R E Pollock</name></author></analytic><series><title level="j">Journal of the American College of Surgeons</title><idno type="ISSN">1072-7515</idno><imprint><date when="1997" type="published">1997</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abdominal Muscles (surgery)</term><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Amputation</term><term>Female</term><term>Groin (surgery)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neoplasms (surgery)</term><term>Postoperative Complications (etiology)</term><term>Retrospective Studies</term><term>Surgical Flaps (methods)</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Surgical Flaps</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Abdominal Muscles</term><term>Groin</term><term>Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Amputation</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Resection of a large malignant tumor in the groin often leaves a substantial soft-tissue defect that makes wound closure difficult. Nevertheless, palliation and lower extremity salvage is frequently possible if the tumor is widely excised and the wound closed with well-vascularized tissue; however, few data are available on patients undergoing such procedures.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">9291404</PMID><DateCreated><Year>1997</Year><Month>09</Month><Day>24</Day></DateCreated><DateCompleted><Year>1997</Year><Month>09</Month><Day>24</Day></DateCompleted><DateRevised><Year>2017</Year><Month>09</Month><Day>08</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1072-7515</ISSN><JournalIssue CitedMedium="Print"><Volume>185</Volume><Issue>3</Issue><PubDate><Year>1997</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Journal of the American College of Surgeons</Title><ISOAbbreviation>J. Am. Coll. Surg.</ISOAbbreviation></Journal><ArticleTitle>Lower extremity salvage after radical resection of malignant tumors in the groin and lower abdominal wall.</ArticleTitle><Pagination><MedlinePgn>260-7</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Resection of a large malignant tumor in the groin often leaves a substantial soft-tissue defect that makes wound closure difficult. Nevertheless, palliation and lower extremity salvage is frequently possible if the tumor is widely excised and the wound closed with well-vascularized tissue; however, few data are available on patients undergoing such procedures.</AbstractText><AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">We retrospectively examined our experience with limb salvage in 25 patients undergoing radical groin resection for metastatic or recurrent malignant tumors between April 1, 1991 and April 8, 1996.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Defect size ranged from 15 to 735 cm2 (mean, 238.5 cm2). Tumor resection included part of the abdominal wall in 14 patients and the femoral vessels in 5 patients. Defects were most commonly repaired with a vertical rectus abdominis myocutaneous flap (56%). Mean hospital stay was 10.4 days, and mean followup was 15.5 months. Although the complication rate was 68%, the limb salvage rate was 100%, and normal ambulation was achieved in 88% of patients. The most frequent complications were chronic lymphedema (42%) and seroma (29%). There was one perioperative death (4%).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Functional limb salvage after radical resection of the groin and lower abdominal wall is very successful, has an acceptable morbidity rate, does not prolong hospital stay, and contributes significantly to the patient's quality of life. Chronic lymphedema is a frequent complication after this treatment but can be managed successfully with conservative techniques.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Reece</LastName><ForeName>G P</ForeName><Initials>GP</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center, Houston 77030, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gillis</LastName><ForeName>T A</ForeName><Initials>TA</Initials></Author><Author ValidYN="Y"><LastName>Pollock</LastName><ForeName>R E</ForeName><Initials>RE</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Am Coll Surg</MedlineTA><NlmUniqueID>9431305</NlmUniqueID><ISSNLinking>1072-7515</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000009" MajorTopicYN="N">Abdominal Muscles</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000671" MajorTopicYN="N">Amputation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006119" MajorTopicYN="N">Groin</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009369" MajorTopicYN="N">Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013524" MajorTopicYN="N">Surgical Flaps</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1997</Year><Month>9</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1997</Year><Month>9</Month><Day>18</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1997</Year><Month>9</Month><Day>18</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">9291404</ArticleId><ArticleId IdType="pii">S1072-7515(01)00926-7</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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