Effects of extended latissimusdorsi musculocutaneous flap combined with precision surgery for breast cancer in stage Ⅰ breast reconstruction
10.3760/cma.j.issn.1671-0290.2024.04.007
- VernacularTitle:扩大背阔肌皮瓣联合乳腺癌精准手术在一期乳房再造的效果
- Author:
Xiaochun ZHOU
1
;
Cuicui GE
;
Yong DENG
;
Hui CHEN
;
Lingjie LI
;
Xiyu CHEN
;
Lanlan YAN
;
Jing LU
Author Information
1. 江苏省连云港市妇幼保健院乳腺保健科，连云港 222000
- Keywords:
Breast tumor;
Extended latissimus dorsi myocutaneous flap;
Mastectomy;
Breast reconstruction;
Complication
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2024;30(4):332-336
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the application value of extended latissimusdorsi musculocutaneous flap combined with breast precision hand in stage Ⅰ breast reconstruction.Methods:Twelve cases of extended latissimusdorsi musculocutaneous flap combined with stage Ⅰ breast reconstruction for breast cancer precision surgery were collected from January 2022 to February 2023 in our department, the postoperative complications of surgical techniques were analyzed, and the cosmetic effects of breast reconstruction were evaluated according to Harris standards.Results:All 12 cases underwent breast reconstruction with extended latissimusdorsi musculocutaneous flap, and the survival rate of the flap was 100%. There was local cutaneous margin necrosis in 1 case of back incision, partial ischemic necrosis of the nipple in 1 case, and effusion in the donor area of the back in 5 cases. Harris evaluation of cosmetic effect of breast reconstruction was excellent in 3 cases, good in 6 cases, and fair in 3 cases. Follow-up time was 4-16 months (median was 12 months), and no local recurrence or distant metastasis was observed during follow-up.Conclusions:The extended latissimusdorsi musculocutaneous flap combined with precision mastectomy stage Ⅰ reconstruction is a safe and feasible treatment method for breast cancer.
