転移性腹壁腫瘍切除後の腹壁全層欠損に対する穿通枝皮弁による再建

抄録

A total of 10 patients with abdominal wall metastasized visceral cancer underwent reconstruction of full-thickness abdominal wall defects after metastatic tumor ablation using free or pedicled perforator flaps. The primary tumor sites were as follows: colon in 3, stomach in 2, urinary bladder in 2, bile duct in 2, and rectum in 1. One patient was considered to have port-site recurrence after endoscopic surgery. No primary malignant tumors of the abdominal wall were included in this series.
For reconstruction, 3 free anterolateral thigh flaps, 4 pedicled anterolateral thigh flaps and 3 pedicled deep inferior epigastric artery perforator flaps were used. The dynamic reconstruction procedure with innervated vastus lateralis and anterolateral thigh flap was not employed.
All flaps completely survived. Postoperative complications included one case of mild adhesive ileus and one case of MRSA pneumonia resulting in abdominal wall abscess.