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KMID : 0613320080140020119
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Journal of the Korean Bone and Joint Tumor Soceity
2008 Volume.14 No. 2 p.119 ~ p.124
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Anterolateral Thigh Free Flap for Reconstruction after Wide Resection of Soft Tissue Sarcoma
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Park Jong-Hyuk
Lee Hyung-Seok
Kim Jung-Ryul
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Abstract
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Purpose: To present our experience with soft tissue reconstruction using anterolateral thigh free flap after resection of soft tissue sarcoma.
Materials and Methods: Between January of 2003 and June of 2007, we treated 7 patients with soft tissue reconstruction using anterolateral thigh free flap after wide resection for soft tissue sarcoma. We retrospectively analyzed type and size of tumors, resection margin, size of defect after resection, time of operation, flap survival and complication.
Results: The type of sarcoma was 3 synovial sarcoma, 2 malignant fibrous histiocytoma, 1 leimyosarcoma and 1 fibrosarcoma. The size of tumor varied from 3×5 cm to 7×8 cm. The resection margins of tumors were negative in all cases. The size of soft tissue defect after resection varied from 6×8 cm to 15×10 cm. The mean time of operation was 3.6 hours. All flaps were survived.
Conclusion: Anterolateral thigh free flap appear to be ideal for reconstruction after wide resection of soft tissue sarcoma.
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KEYWORD
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Soft tissue sarcoma, Wide resection, Anterolateral thigh free flap
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