Arena Roof Technique for Complex Reconstruction After Extensive Chest Wall Resection Gaetano Rocco, MD, FRCSEd, Antonello La Rocca, MD, Carmine La Manna,

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Presentation transcript:

Arena Roof Technique for Complex Reconstruction After Extensive Chest Wall Resection Gaetano Rocco, MD, FRCSEd, Antonello La Rocca, MD, Carmine La Manna, MD, Nicola Martucci, MD, Giuseppe De Luca, MD, Rosanna Accardo, MD The Annals of Thoracic Surgery Volume 100, Issue 4, Pages 1479-1481 (October 2015) DOI: 10.1016/j.athoracsur.2015.04.094 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Surgical specimen after chest wall resection of second to fifth ribs. A 12 × 8 cm desmoid tumor was removed on 2 cm tumor-free margins. The Annals of Thoracic Surgery 2015 100, 1479-1481DOI: (10.1016/j.athoracsur.2015.04.094) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Schematic explaining the arena roof technique. The original model was the Dalian football stadium in China. The rib stumps are “extended” through titanium plates to partially reduce the defect which is then fully covered by an acellular collagen matrix mesh. (Reprinted with permission from Mrs Karen Murphy of UNStudio, Amsterdam at http://www.unstudio.com/projects/dalian-football-stadium.) The Annals of Thoracic Surgery 2015 100, 1479-1481DOI: (10.1016/j.athoracsur.2015.04.094) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Follow-up computed tomographic scan at 2 years from surgery showing chest wall stability and virtually absent reduction of the volume in the right hemithorax. The Annals of Thoracic Surgery 2015 100, 1479-1481DOI: (10.1016/j.athoracsur.2015.04.094) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions