Oncologic safety of propeller flap and free flap in reconstruction after soft tissue sarcoma resection
- Authors
- Cha, Han Gyu; Kang, Min Kyu; Kim, Wanlim; Lee, Jong Seok; Hong, Joon Pio; Suh, Hyunsuk Peter
- Issue Date
- Sep-2020
- Publisher
- John Wiley & Sons Inc.
- Keywords
- adjuvant radiotherapy; free flap; propeller flap; soft tissue sarcoma
- Citation
- Journal of Surgical Oncology, v.122, no.4, pp 787 - 794
- Pages
- 8
- Journal Title
- Journal of Surgical Oncology
- Volume
- 122
- Number
- 4
- Start Page
- 787
- End Page
- 794
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/19459
- DOI
- 10.1002/jso.26076
- ISSN
- 0022-4790
1096-9098
- Abstract
- Background and Objectives The propeller flap is a reliable option for reconstruction after soft tissue sarcoma resection. However, some parts of the resection margin may move away from its original position during flap rotation and thus can be excluded from the clinical target volume of adjuvant radiotherapy. This study aimed to evaluate local recurrence after soft tissue sarcoma resection with propeller flap or free flap reconstruction. Methods Patients who underwent resection of soft tissue sarcoma followed by a free flap or propeller flap reconstruction and adjuvant radiotherapy at a single institution were retrospectively reviewed. Results The 1- and 3-year local control rates were 94.6% and 88.6% in the free flap group vs 90.6% and 87.5% in the propeller flap group, without statistical significance. There were no statistically significant differences in 5-year local recurrence-free survival (88.6% vs 87.5%) and disease-free survival (82.5% vs 74.8%) between the groups. Conclusions Although there was no significant difference in local control and disease-free survival rates between propeller flap and free flap reconstruction after soft tissue sarcoma resection, a multidisciplinary approach is needed to obtain surgical information for determining the accurate clinical target volume of adjuvant radiotherapy and the area for meticulous follow-up postoperatively.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Plastic Surgery > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/19459)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.