Breast-conserving surgery with immediate partial breast reconstruction using pedicled thoracodorsal artery perforator flap: a clinical analysis of 33 patients
10.3760/cma.j.issn.0529-5815.2017.02.009
- VernacularTitle: 胸背动脉穿支组织瓣用于乳腺癌保留乳房手术联合一期部分乳房成形术33例临床分析
- Author:
Xing WANG
1
;
Yingjian HE
;
Jinfeng LI
;
Yuntao XIE
;
Tianfeng WANG
;
Zhaoqing FAN
;
Ling HUO
;
Tao OUYANG
Author Information
1. Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Breast Cancer Prevention and Treatment Center, Peking University Cancer Hospital & Institute, Beijing 100143, China
- Publication Type:Journal Article
- Keywords:
Breast neoplasms;
Mammaplasty;
Surgical flaps;
Thoracodorsal artery
- From:
Chinese Journal of Surgery
2017;55(2):120-125
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application value of pedicled thoracodorsal artery perforator flap in immediate partial breast reconstruction for breast cancer.
Methods:This study is a prospective case series studies. Totally 128 cases of primary breast cancer patients who prepared to receive the breast-conserving surgery combine with immediate partial breast reconstruction of pedicled thoracodorsalartery perforator flap were enrolled in Breast Cancer Prevention and Treatment Center of Peking University Cancer Hospital from June 2013 to March 2016. Finally, the operations had been completed successfully in 33 eligible cases. All patients were female with a median age of 40 years (ranging from 22 to 52 years). The perforator vessel location, the donor area design, the post-operative complications, the influence of radiation and chemotherapy had been evaluated.
Results:The average diameter of thoracic dorsal artery perforators measured by Doppler ultrasound before the operation was (1.5±0.4) mm (ranging from 0.6 to 2.7 mm). The average size of flaps was 15 cm×6 cm. The average time of operations was (271±72) minutes (ranging from 120 to 245 minutes). Drainage tube removed on (4.7±2.1) days after operation (ranging from 3 to 12 days). All patients received follow-up, and there was no local recurrence and distant metastasis during a median follow-up of 17(12) months (M(QR)) (ranging from 5 to 38 months). All TDAP flaps were survival, the wound complication rates was 6% (2/33).
Conclusions:The breast reconstruction of pedicled thoracodorsal artery perforator flap is a good choice of repairing local breast defect of breast conserving surgery.Its advantages are no-influence of latissimus dorsi function and little complications in donor area.
