Back to Search
Start Over
Reconstructive limb-salvage surgery after lower extremity soft tissue sarcoma resection: A 20-year experience.
- Source :
-
Journal of surgical oncology [J Surg Oncol] 2019 May; Vol. 119 (6), pp. 708-716. Date of Electronic Publication: 2019 Jan 15. - Publication Year :
- 2019
-
Abstract
- Background: Reconstructive surgery is often required following lower extremity soft tissue sarcoma resection. The relationship between the method of plastic surgery reconstruction and postoperative wound healing or functional oncologic outcomes in this patient population is poorly understood.<br />Methods: We performed a retrospective review on all adult patients that underwent soft tissue reconstruction following resection of lower extremity soft tissue sarcomas between 1996 and 2016 at our institution.<br />Results: One hundred and thirty-six patients were identified. Wound complications occurred within 6-months postoperatively in 72 patients (52.9%). Average time to heal was 13.0 weeks. Limb survival was 94.9%. 16.9% and 36.8% of patients had evidence of local recurrence or metastatic disease, respectively. There was no significant difference in the incidence of overall wound complications, time to heal, limb survival, local recurrence, or metastatic disease between the different reconstructive methods.<br />Conclusions: In our cohort, the utilization of different reconstructive techniques did not correlate with a difference in postoperative wound complications or oncologic outcomes. Local flaps can effectively reconstruct the majority of lower extremity sarcoma defects that cannot be closed primarily. However, alternative reconstructive techniques may be utilized when indicated without a significant increase in postoperative morbidity in this patient population.<br /> (© 2019 Wiley Periodicals, Inc.)
- Subjects :
- Adult
Aged
Aged, 80 and over
Amputation, Surgical statistics & numerical data
Chemotherapy, Adjuvant
Female
Graft Survival
Humans
Male
Maryland epidemiology
Middle Aged
Neoplasm Metastasis
Neoplasm Recurrence, Local epidemiology
Postoperative Complications epidemiology
Radiotherapy, Adjuvant
Retrospective Studies
Sarcoma pathology
Soft Tissue Neoplasms pathology
Wound Healing
Young Adult
Limb Salvage
Sarcoma therapy
Skin Transplantation
Soft Tissue Neoplasms therapy
Surgical Flaps
Subjects
Details
- Language :
- English
- ISSN :
- 1096-9098
- Volume :
- 119
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of surgical oncology
- Publication Type :
- Academic Journal
- Accession number :
- 30644559
- Full Text :
- https://doi.org/10.1002/jso.25358