The value of different surgical methods in the repair of huge chest wall defect after breast malignant tumor operation
10.3760/cma.j.issn.1674-6090.2018.02.004
- VernacularTitle:不同手术方式在乳腺恶性肿瘤术后胸壁巨大缺损修补中的应用价值
- Author:
Jun XU
1
;
Jingjie ZHANG
;
Benzhong WANG
;
Min REN
;
Chenyu SUN
Author Information
1. 230022,安徽医科大学第一附属医院普外科乳腺外科
- Keywords:
Breast neoplasms;
Latissimus dorsi flap;
Internal mammary artery perforator flap;
Skin grafting;
Chest-wall
- From:
Chinese Journal of Endocrine Surgery
2018;12(2):99-103
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the value of different surgical methods in the repair of huge chest wall defect after breast malignant tumor operation.Methods The clinical data of 22 patients with chest wall defect after chest operation were retrospectively analyzed.All patients received one-stage repair for the chest wall defect with different surgical methods.Of the patients,9 cases got repair with latissimus dorsi myocutaneous flap,4 cases received repairment with internal mammary perforator flap of contralateral breast,and the others received dermatoplasty.Results All the 22 cases were successfully repaired.Two cases of dermatoplasty got mild edema who was healed after acitive dressing change.No one got effusion,infection or necrosis.No recurrence or distant metastasis happened except one case of liver metastasis in the follow-up of 6 to 24 months.Conclusions Application of different surgical methods in repair for the chest wall defect can improve patients' life quality.It is easy,safe and effective.We should choose the most suitable surgical method according to individual situation.
