Research Article

Immediate versus Delayed Sarcoma Reconstruction: Impact on Outcomes

Table 1

Characteristics of the study population by reconstructive type.

Delayed ( = 17)Immediate ( = 53)Total ( = 70) value1

Age0.3613
 Mean (SD)59.8 (16.9)64.3 (18.0)63.2 (17.8)
 Median (range)66.0 (17.0–81.0)67.0 (22.0–94.0)66.5 (17.0–94.0)

Sex, female (%)11 (64.7%)33 (62.3%)44 (62.9%)1.0000

Diagnosis, n0.4740
 Myxofibrosarcoma5 (29.4%)7 (13.2%)12 (17.1%)
 Synovial sarcoma1 (5.9%)5 (9.4%)6 (8.6%)
 Leiomyosarcoma2 (11.8%)4 (7.5%)6 (8.6%)
 Liposarcoma2 (11.8%)3 (5.7%)5 (7.1%)
 Sarcoma NOS2 (11.8%)4 (7.5%)6 (8.6%)
 Myxoid chondrosarcoma1 (5.9%)0 (0.0%)1 (1.4%)
 Myxoid liposarcoma2 (11.8%)2 (3.8%)4 (5.7%)
 Fibrous histiocytoma0 (0.0%)5 (9.4%)5 (7.1%)
 Fibrosarcoma0 (0.0%)4 (7.5%)4 (5.7%)
 Pleomorphic sarcoma0 (0.0%)7 (13.2%)7 (10.0%)
 Spindle cell sarcoma1 (5.9%)3 (5.7%)4 (5.7%)
 Pleomorphic liposarcoma1 (5.9%)0 (0.0%)1 (1.4%)
 Dermatofibrosarcoma protuberans0 (0.0%)1 (1.9%)1 (1.4%)
 Angiosarcoma, high grade0 (0.0%)1 (1.9%)1 (1.4%)
 Giant cell rich extraosseous osteosarcoma0 (0.0%)1 (1.9%)1 (1.4%)
 Fibroblastic sarcoma0 (0.0%)1 (1.9%)1 (1.4%)
 Epithelioid angiosarcoma0 (0.0%)2 (3.8%)2 (2.9%)
 Osteosarcoma0 (0.0%)1 (1.9%)1 (1.4%)
 Neurofibrosarcoma0 (0.0%)1 (1.9%)1 (1.4%)
 Epitheloid sarcoma0 (0.0%)1 (1.9%)1 (1.4%)

Neoadjuvant chemotherapy, n 8 (47.1%)14 (26.4%)22 (31.4%)0.1381

Neoadjuvant radiation, n14 (82.4%)34 (64.2%)48 (68.6%)0.2324

Neoadjuvant radiation dosage, gy 0.1167
 Mean (SD)39.9 (19.7)30.0 (23.3)32.4 (22.7)
 Median50.0 (0.0–50.4)45.0 (0.0–50.4)50.0 (0.0–50.4)

Intraoperative radiation, n 9 (52.9%)16 (30.2%)25 (35.7%)0.1443

Intraoperative radiation dosage, gy 0.1240
 Mean (SD)6.8 (6.7)4.0 (6.2)4.7 (6.4)
 Median (Range)10.0 (0.0–15.0)0.0 (0.0–17.5)0.0 (0.0–17.5)

Obesity, n8 (47.1%)7 (13.2%)15 (21.4%)0.0060

Peripheral Vascular Disease, n0 (0.0%)1 (1.9%)1 (1.4%)1.0000

Coronary Artery Disease, n1 (5.9%)5 (9.4%)6 (8.6%)1.0000

Diabetes, n4 (23.5%)4 (7.5%)8 (11.4%)0.0911

Current smoker, n1 (5.9%)5 (9.4%)6 (8.6%)1.0000

Alcohol abuse, n0 (0.0%)1 (1.9%)1 (1.4%)1.0000

Fisher’s exact test was used for categorical variables and two sample t-test was used for continuous variables. ( significant). gy = gray.