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Microvascular reconstruction after resection of soft tissue sarcoma of the leg
- Source :
- The British journal of surgery. 96(5)
- Publication Year :
- 2009
-
Abstract
- Background Limb-sparing surgery and satisfactory functional outcome is the goal of extremity soft tissue sarcoma (STS) surgery. Tissue defects after tumour excision are often extensive, and microvascular reconstruction is frequently required. Methods Seventy-three patients with STS of the leg requiring microvascular reconstruction were treated between 1985 and 2006. Radiotherapy was delivered if the microscopic surgical margin was less than 2·5 cm. Results Mean follow-up was 65·9 months. Seventy-five free flaps were performed, with a success rate of 95 per cent. One patient died within a month of surgery. Five-year local recurrence-free survival was 82 per cent, metastasis-free survival 59 per cent, disease-free survival 56 per cent and disease-specific overall survival 70 per cent. Fifty-five (75 per cent) of the 73 patients were able to walk normally or had only minor walking impairment. Conclusion Without microvascular reconstruction, amputation would have been necessary in most patients. Microvascular reconstruction is safe and reliable in lower extremity STS reconstruction.
- Subjects :
- Adult
Male
Surgical margin
medicine.medical_specialty
Skin Neoplasms
Adolescent
medicine.medical_treatment
Free flap
030230 surgery
Amputation, Surgical
Disease-Free Survival
Surgical Flaps
Resection
03 medical and health sciences
Young Adult
0302 clinical medicine
Postoperative Complications
Risk Factors
Medicine
Humans
Neoplasm Metastasis
Aged
Tumour excision
Aged, 80 and over
Leg
business.industry
Soft tissue sarcoma
Microcirculation
Sarcoma
Length of Stay
Middle Aged
medicine.disease
3. Good health
Surgery
Radiation therapy
Treatment Outcome
Amputation
030220 oncology & carcinogenesis
Female
business
Vascular Surgical Procedures
Subjects
Details
- ISSN :
- 13652168
- Volume :
- 96
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- The British journal of surgery
- Accession number :
- edsair.doi.dedup.....b2c426eaee45bcc16e6a7aff254cfc74