Abstract：
The extension of chest wall resection for the treatment of primary and secondary tumours is still widely debated. The reconstructive strategy after extensive surgery is challenging as well as chest wall demolition itself. Reconstructive surgery aims to avoid respiratory failure and to guarantee intra-thoracic organs protection. The purpose of this review is to analyse the literature on this issue focusing on the planning strategy for chest wall reconstruction. This is a narrative review, reporting data from the most interesting studies on chest wall demolition and reconstruction. Representative surgical series on chest wall thoracic surgery were selected and described. We focused to identify the best reconstructive strategies analyzing employed materials, techniques of reconstruction, morbidity and mortality. Nowadays the new \"bio-mimetic\" materials in \"rigid\" and \"non-rigid\" chest wall systems reconstructive represent new horizons for the treatment of challenging thoracic diseases. Further prospective studies are warranted to identify new materials enhancing thoracic function after major thoracic excisions.
摘要：
胸壁切除术用于治疗原发性和继发性肿瘤的扩展仍存在广泛争议。广泛手术后的重建策略以及胸壁拆除本身都具有挑战性。重建手术旨在避免呼吸衰竭并确保胸内器官保护。这篇评论的目的是分析有关此问题的文献，重点是胸壁重建的计划策略。这是一个叙述性的审查，报告最有趣的胸壁拆除和重建研究的数据。选择并描述了胸壁胸外科手术的代表性手术系列。我们专注于确定分析所用材料的最佳重建策略，重建技术，发病率和死亡率。如今，“刚性”和“非刚性”胸壁系统重建中的新“仿生”材料代表了治疗具有挑战性的胸部疾病的新视野。有必要进行进一步的前瞻性研究，以确定在胸部大切除术后可增强胸部功能的新材料。
