Immediate breast reconstruction after modified radical mastectomy and latissimus dorsi myocutaneous flap transplantation in 42 cases
10.3969/j.issn.2095-4344.2014.36.028
- VernacularTitle:乳腺癌改良根治术后即刻背阔肌肌皮瓣移植重建乳房：42例分析
- Author:
Minmin ZHANG
;
Junyang MO
;
Shuting QIN
- Publication Type:Journal Article
- Keywords:
breast neoplasms;
mastectomy,modified radical;
surgical flaps;
transplantation
- From:
Chinese Journal of Tissue Engineering Research
2014;(36):5899-5904
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:How to keep the intact shape of the breast while treating tumor has been widely concerned by more doctors and patients, breast reconstruction is introduced, developed and considered an important part in the treatment of breast tumors. OBJECTIVE:To explore the feasibility and therapeutic effects of immediate breast reconstruction after modified radical mastectomy and latissimus dorsi myocutaneous flap transplantation. METHODS:We retrospectively analyzed the clinical and pathological features of 42 breast cancer patients under immediate breast reconstruction after modified radical mastectomy with latissimus dorsi musculocuraneous flap or extended latissimus dorsi musculocuraneous flap. The procedure duration, postoperative complications and cosmetic outcome were assessed. RESULTS AND CONCLUSION:Among the involved 42 patients, 33 cases underwent modified radical mastectomy, retaining the nipple and areola of breast, 9 cases underwent modified radical mastectomy, retaining the skin of breast, 24 cases underwent breast reconstruction with latissimus dorsi musculocuraneous flap, 18 cases underwent breast reconstruction with extended latissimus dorsi musculocuraneous flap. The skin flap and reconstructed breast al survived, without severe complications. According to objective evaluation results, the cosmetic outcome was good in 39 cases and fair in 3 cases. The subjective evaluation results were good in 40 cases and fair in 2 cases. Al the patients were fol owed up for 9-41 months. One patient had bone metastasis 19 months after operation and there was no case with local recurrence. Immediate breast reconstruction after modified radical mastectomy with latissimus dorsi musculocuraneous flap is a simple and feasible operation process, with optimal effects, high security, and high survival.
