Long-term results of oncoplastic breast surgery with latissimus dorsi flap reconstruction: a pilot study of the objective cosmetic results and patient reported outcome.
10.4174/astr.2016.90.3.117
- Author:
Kyeong Deok KIM
1
;
Zisun KIM
;
Jung Cheol KUK
;
Jaehong JEONG
;
Kyu Sung CHOI
;
Sung Mo HUR
;
Gui Ae JEONG
;
Jun Chul CHUNG
;
Gyu Seok CHO
;
Eung Jin SHIN
;
Hyung Chul KIM
;
Sang Gue KANG
;
Min Hyuk LEE
;
Cheol Wan LIM
Author Information
1. Department of Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea. sk4091@hanmail.net
- Publication Type:Original Article
- Keywords:
Breast;
Carcinoma;
Quality of life;
Superficial back muscles;
Surgical flap
- MeSH:
Breast*;
Female;
Follow-Up Studies;
Humans;
Mammaplasty;
Patient Satisfaction;
Pilot Projects*;
Quality of Life;
Superficial Back Muscles*;
Surgical Flaps
- From:Annals of Surgical Treatment and Research
2016;90(3):117-123
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The goal of oncoplastic breast surgery is to restore the appearance of the breast and improve patient satisfaction. Thus, the assessment of cosmetic results and patient-reported outcomes (PROs) using appropriately constructed and validated instruments is essential. The aim of the present study was to assess the long-term objective cosmetic results and corresponding PROs after oncoplastic breast surgery. METHODS: Cosmetic results were assessed by the patients, a medical panel, and a computer program (BCCT.core). PROs were assessed using BREAST-Q, a questionnaire that measures the perception of patients having breast surgery. The cosmetic results and PROs were analyzed in patients who underwent quadrantectomy and partial breast reconstruction utilizing the latissimus dorsi flap. RESULTS: The mean duration of the follow-up period was 91.6 months (range, 33.3-171.0 months), and mean age of the patients was 51 years old (range, 33-72 years). The mean tumor size was 2.1 cm (range, 0.9-5.5 cm). There was fair agreement between the medical panel and BCCT.core score (K = 0.32, P < 0.001), and a statistically significant correlation between the BCCT.core score and medical panel cosmetic results was identified (r = 0.606, P < 0.001). A better BCCT.core result was related to a higher PRO of each BREAST-Q domain-satisfaction with breasts (R2 = 0.070, P = 0.039), satisfaction with outcome (R2 = 0.087, P = 0.021), psychosocial well-being (R2 = 0.085, P = 0.023), sexual well-being (R2 = 0.082, P = 0.029), and satisfaction with information (R2 = 0.064, P = 0.049). CONCLUSION: Our long-term results of oncoplastic surgery achieved a high level of patient satisfaction with good cosmetic results. The medical panel and BCCT.core results correlated well with the PROs of the patients using valid, reliable, and procedure-specific measures.
