Chest wall resection and reconstruction is the primary surgical option for chest wall tumors. This surgery involves the removal of one or more ribs to extract the tumor, followed by reconstruction to recreate a normal appearance after invasive surgery.
Chest wall tumors are a heterogeneous group of lesions that provide an interesting diagnostic and therapeutic challenge for surgeons. They make up less than 5% of thoracic malignancies and vary widely in pathology as they arise from all anatomic structures of the chest wall.
In general, treatment is “wide local excision”, the margins for malignant disease are necessarily wider, and adjuvant radiation is typically given for those with positive margins. Chemotherapy is rarely effective. Local control is the most important prognostic factor.
SURGICAL PROCEDURES
- ICU Stay: 1 day
- HOSPITAL Stay: 5-7 days
- TOTAL Stay in TURKEY (range in DAYS*; unless any other complications!): 14 – 16 Days
GENERAL INFO
Before Surgery
- Consultations – (Preop – *(Only Anesthesia and Chest Diseases are preoperatively included in the total charges!): Anesthesia and Chest Disease (if needed)*
- Blood Tests: Yes (Hemogram, Serology, Biochemistry, Blood type)
- Chest X-Ray: Yes (*Bilateral; PA and Lateral Chest Graphies)
- Abdominal X-Ray: If needed!
- PFT (Pulmonary Function Test): Yes – *(Not included in the total charges!)
- V/Q Scan (Lung Ventilation / Perfusion Scan): No
- Chest and/or Abdominal CT Scan – *(If the patient have the CT scans already done, then no need to take additional CT scans preop): Yes – Preop evaluation (* Not included in the total charges)!
- PET / CT Scan (Positron Emisson Tomography): Yes – Preop evaluation (* Not included in the total charges)!
- MRI (Chest, Abdomen and/or Brain) – *(If the patient have the MRI already done, then no need to take additional MRI preop): Yes – Preop evaluation (* Not included in the total charges)
- Bone Scan: Not routine – If needed!* – Preop evaluation (* Not included in the total charges)
- USG / Ultrasonography (Chest, Abdomen, and/or others): Not routine – If needed!* – Preop and/or Postop evaluation (* Not included in the total charges)
During Surgery
- General Anesthesia: Yes
- Local/Regional Anesthesia: No
- Local Anesthesia + Sedation: No
- Spinal / Epidural Anesthesia: Not routine!; *If needed! *(Not included in the total charges!)
- PCA (Patient Controlled Analgesia; Epidural or IV route charges!): Not routine!; *If needed for Postop Analgesia! – *(Not included in the total charges!)
After Surgery
- HOSPITAL STAY after the ICU period, if ever: 5 – 7 Days
- STAY AT HOTEL after being discharged from Hospital – *’Wound Dressing’ Everyday till the Control Day!: 8-10 Days
- First CONTROL Day! – *Get the Stitches removed, If ever!: 10th Day after being discharged to HOTEL!
- Discharged to HOME – *Take your prescription – DO NOT FORGET!: Patients generally could have “a safe flight to home” at the 8th-10th Day after the FIRST CONTROL!
- After – Surgery ( 3rd to 4th Weeks) – Needs CONSULTATIONS by “Medical AND Radiation Oncology Clinics”: Yes
- Late – CONTROLS (1st -3rd – 6th – 12th -24th months in concordance with “the Medical & Radiation Oncology Departments Followups”)!: Yes