Abstract：
Thigh loss cover after carcinologic resection of sarcomas can be complex and compromise the vascular tree of the lower limb. We report a case of a patient with recurrent sarcoma of the right thigh. After multiple resections, the femur and hip joint are exposed. The superficial and deep femoral vessels are taken in the excisional piece. The reconstruction is performed by a free musculocutaneous latissimus dorsi flap, anastomosed to the deep inferior controlateral epigastric vessels. The deep inferior epigastric vessels are of sufficient length to join the contralateral hemiabdomen after dissection with a gauge allowing microsurgical anastomoses. They can serve as recipient vessels for a flap covering the contralateral thigh.
摘要：
肉瘤癌切除术后大腿丧失覆盖可能很复杂，会损害下肢血管树。我们报告了一例右大腿复发性肉瘤患者。多次切除后,股骨和髋关节暴露。在切除块中取出浅表和深股骨血管。重建是通过游离的肌皮背阔肌皮瓣进行的，吻合于腹壁下腹侧深血管。深的上腹部下血管具有足够的长度，可以在解剖后使用允许显微外科吻合的量规连接对侧半腹部。它们可以用作覆盖对侧大腿的皮瓣的受体血管。
