Immediate breast reconstruction with extended latissimus dorsi myocutaneous flap after nipple-sparing modified radical mastectomy in 61 cases
10.3760/cma.j.issn.1006-9801.2015.03.011
- VernacularTitle:保留乳头乳晕的乳腺癌改良根治术后即刻扩大背阔肌肌皮瓣乳房再造61例
- Author:
Jiapeng HUANG
;
Junyang MO
;
Yaqiang ZHUANG
;
Ping HUANG
- Publication Type:Journal Article
- Keywords:
Breast neoplasms;
Breast reconstruction;
Extended latissimus dorsi myocutaneous flap;
Nipple-sparing mastectomy
- From:
Cancer Research and Clinic
2015;27(3):183-186,189
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the surgical method and therapeutic effects of immediate breast reconstruction with extended latissimus dorsi myocutaneous flap after nipple-sparing mastectomy.Methods From January 2008 to July 2014,61 patients with breast cancer were given immediate breast reconstruction with extended latissimus dorsi myocutaneous flap after nipple-sparing mastectomy.Results All of the 61 patients obtained successful breast reconstruction without flap necrosis and serious complications.Followed-up from 12 to 78 months,all patients were no local recurrence,but distant metastasis was occurred in 4 cases and death in 1 case.The morphology of reconstructed breast was excellent in 93.4 ％ (57/61) cases.Conclusion Immediate breast reconstruction with extended latissimus dorsi myocutaneous flap after nipplesparing mastectomy is safe,easy to master and has few serious complications.The reconstructed breast has a natural and beautiful appearance and improves the quality of life.It does not affect postoperative adjuvant therapy.Most Chinese patients can obtain breast reconstruction without implant.This method is worth to spread.
