ArticleThe Journal of thoracic and cardiovascular surgery2023
The contribution of microvascular free flaps and pedicled flaps to successful chest wall surgery.
Article in The Journal of thoracic and cardiovascular surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Combined reconstruction of complex chest wall defects using mesh-supported rigid materials and abdominal flap strategies: a retrospective clinical study.Frontiers in surgery · 2026Article
- Short- and long-term outcomes of chest wall resection and reconstruction for breast cancer.The Journal of thoracic and cardiovascular surgery · 2026Article
- Innovative Reconstruction of Depressed Abdominal Scars Using Adipofascial Flaps and W-Plasty.The American journal of case reports · 2025Article
- Complex chest wall reconstruction after failure: a literature review.Journal of thoracic disease · 2024Review
- Reconstruction of Chest Wall Defects in Resource-Constrained Settings.Annals of surgical oncology · 2024Article
- Pedicled flap transfer after chest wall malignant tumor resection and potential risk of postoperative respiratory problems for patients with low FEV1.0.Frontiers in surgery · 2024Article
- Biologic versus synthetic prosthesis for chest wall reconstruction: a matched analysis.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2023Article
Corrections and comments
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Authors and funding
26 authors.
Funding
Abstract
objectivePedicled flaps (PFs) have historically served as the preferred option for reconstruction of large chest wall defects. More recently, the indications for microvascular-free flaps (MVFFs) have increased, particularly for defects in which PFs are inadequate or unavailable. We sought to compare oncologic and surgical outcomes between MVFFs and PFs in reconstructions of full-thickness chest wall defects.
methodsWe retrospectively identified all patients who underwent chest wall resection at our institution from 2000 to 2022. Patients were stratified by flap reconstruction. End points were defect size, rate of complete resection, rate of local recurrence, and postoperative outcomes. Multivariable analysis was performed to identify factors associated with complications at 30 days.
resultsIn total, 536 patients underwent chest wall resection, of whom 133 had flap reconstruction (MVFF, n = 28; PF, n = 105). The median (interquartile range) covered defect size was 172 cm
conclusionsPatients with MVFFs had larger defects, a high rate of complete resection, and a low rate of local recurrence. MVFFs are a valid option for chest wall reconstructions.
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