Application of lateral thoracic wall vascular pedicled composite tissue flap in breast conserving surgery and remodeling breast shape
10.3760/cma.j.issn.1674-6090.2018.02.003
- VernacularTitle:侧胸壁血管带蒂复合组织瓣在乳腺癌保乳术乳房重塑中的应用
- Author:
Peng ZHAO
1
;
Qinhui YANG
;
Yong YANG
;
Yongsheng LI
;
Jili CHE
;
Youmo ZHU
;
Biao WU
Author Information
1. 730000,甘肃省兰州市妇幼保健院
- Keywords:
Side chest wall blood vessels;
Pedicled composite tissue flap;
Breast conserving surgery;
Remodeling breast shape
- From:
Chinese Journal of Endocrine Surgery
2018;12(2):96-98,103
- CountryChina
- Language:Chinese
-
Abstract:
Objective To introduce a breast conserving surgery for reconstruction of breast shape and to demonstrate the postoperative effect.Methods Ten patients were treated with this method from Apr.2016 to Dec.2017,and the lateral thoracic wall arteriovenous vessels were used as vascular pedicle to transfer the distal compound tissue flap of the blood vessel to repair the breast defect remnant cavity which was formed after the breast conserving surgery,and a good shape was obtained.Results All the 10 cases were successfully completed.The intraoperative bleeding was 20 to 30 ml.The operative time was 2 to 3 hours.No blood transfusion was needed.The average hospital stay was 11.5 days,ranging from 10 to 15 days.No infection happened to the incision.All the 10 patients were followed up from 2 to 20 months,with 11 months as the average.No limb edema,asymmetry or local recurrence happened.Conclusion The operation method is effective,safe and economical for patients with large swelling but strong desire to conserve breast.
