clavicle tumor resection

Clavicle tumor resection is surgically related. Curing disease: Indication 1. Benign or tumor-like lesions of the clavicle, bone cysts, aneurysmal bone cysts, non-specific granuloma, etc., such as recurrence due to failure of palliative surgery. 2, malignant tumors, metastatic tumors. Contraindications Conservative tumors of the clavicle and tumor-like lesions can usually be treated with conservative surgery, without radical or partial resection. Preoperative preparation 1. Familiar with medical history and clinical manifestations, biopsy pathological materials, X-ray photographs, etc., to confirm the diagnosis. 2. Familiar with the anatomy of the clavicle and its surroundings. Surgical procedure 1. The incision begins at the sternosacral joint at the inner end of the clavicle, and extends along the outer end of the clavicle to the acromioclavicular joint. The length depends on the total or partial resection of the surgical plan. After cutting the skin and subcutaneous tissue to the periosteum of the clavicle, use the periosteal stripper to peel off under the periosteum (such as a benign lesion), and protect the subclavian muscle with a gauze block (the posterior subclavian artery and vein should not be damaged). 2. If the clavicle is partially removed, you can use a wire saw to cut off the desired part, then use the towel clamp to clamp the broken end, and then continue to free the surrounding area to cut off the part to be cut. 3. If the malignant tumor is a malignant tumor, the clavicle must be completely removed together with the surrounding tissue invaded by the tumor. The Neutajer procedure is the same as this incision, and the deltoid, the sacral ligament, the sacral ligament and the articular cartilage disc, the joint capsule between the shoulder clavicle and all the ligaments are cut at the outer end of the clavicle. At the inner end of the clavicle, the clavicle of the sternocleidomastoid head and the pectoralis major muscle is cut, and the clavicle can be completely removed. complication There was no significant effect on the upper arm functional activity after craniotomy. The main postoperative complications were wound infection. Special attention should be paid to prevention of large vascular nerve damage caused by surgery.