The patient, only 20 years old, developed an egg-sized mass on the right chest wall 6 months ago. Despite conservative treatment, there has been no obvious improvement. More concerning, the mass has continued to grow and now has affected multiple ribs, prompting the patient to urgently seek surgical treatment.
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Medical History
Preoperative Examination
There is a large tumor on the right chest wall, with dimensions of approximately 30x25x20 cm. It is firm, tender to the touch, and has limited mobility. The tumor has already involved the 5th through 8th ribs on the right side.
Surgical Steps
1. An incision was made on the right posterior chest wall to expose the tumor, which was then resected along with the affected ribs.
2. The chest wall defect was repaired using MatrixRIBs. Once the repair was completed, the Matrix RIBs were covered with fibrous membranes on both their internal and external surfaces.
3. A drainage tube was indwelt in the chest cavity.
4. The incision was closed, and the surgery was completed.
Related Photos
A large tumor located on the right chest wall
The chest wall tumor has affected multiple ribs on the right side
Location of the right chest wall tumor (lateral posterior view)
Location of the right chest wall tumor (axial view)
The CT scan shows that the tumor is located on the right chest wall
Exposure of the tumor on the right chest wall during the surgery
An extensive defect in the right chest wall after tumor resection, with the right diaphragm and lung tissue visible
Reconstruction of the right chest wall using MatrixRIBs
The internal surface of the MatrixRIBs was lined with a layer of fibrous membrane
The external surface of the MatrixRIBs was lined with a layer of fibrous membrane
The incision was closed, marking the end of the surgery.
