Özet:

Purpose: Studies related to the surgery of breast wall tumors are mainly aimed at the effectiveness of reconstruction methods. The purpose of this study is to investigate the factors that affect the complications that occur, whether or not the reconstruction is done or not, after torace wall resection (TDR). Tools and Methods: The files of 70 events applied to TDR between February 2009 and February 2020 have been examined. Risk factors such as etiology (good-fashioned tumors and malignant tumors), reconstruction methods and comorbidities were analyzed in terms of complications. Results: 13 (%18.6) incidents were reconstructed with titanium plate, 22 (%31.4) incidents were used in mesh and 35 (%50) incidents were not reconstructed with synthetic material and the primary was closed. Complications were observed in a total of 22 (31.4%) patients. Atelectase 10 (%14,3), pneumonia 9 (%12,9), prolonged air leakage 7 (%10,0), wound locations problems (seroma 3, infection 4) 7 (%10,0) were observed in patients. in the Benign group 2(%11,1) patients, in primary malignities 3(%33,3), in metastatic group 3(%18,8) and in the invasion group 14(%51,9) complications were observed (p=0,04). In one-variable analysis, posterior placement (p=0,03), high ASA score (p=0,02), accompanying lung resection (p=0,04), repair or non-rebuilding (p=0,05) were a risk factor for complications. In multiple variable analyses, lower complications were observed in titan plaque reconstructions (p=0,08). It was shown that accompanying lung surgery was a bad risk factor (p=0,04), (Hazard ratio=5,4(1,1-25,9), 95% GI). The result: In this study, a lower rate of complications was observed in reconstructions with titanium plates, while an increased rate of complications was observed in simultaneous lung resection. The major TDR is a surgical initiative, the choice of the appropriate reconstructive method appears to be a direct-effective factor on complications.

Anahtar Kelimeler: