Comparison of reconstructive effects and satisfaction analysis between latissimus dorsi myocutaneous flap and prosthesis implantation for breast reconstruction in breast cancer
10.3760/cma.j.cn115807-20231111-00145
- VernacularTitle:乳腺癌背阔肌肌皮瓣和假体植入乳房重建效果比较和满意度分析
- Author:
Xiangning ZENG
1
;
Shengchao HUANG
1
;
Jianwen LI
1
;
Jinxin FU
1
;
Huang HUANG
1
;
Yuanqi ZHANG
1
Author Information
1. 广东医科大学附属医院乳腺外科,湛江 524000
- Publication Type:Journal Article
- Keywords:
Latissimus dorsi myocutaneous flap;
Prosthesis;
Reconstruction;
Satisfaction;
Breast cancer
- From:
Chinese Journal of Endocrine Surgery
2025;19(5):640-645
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Comparative clinical outcome and satisfaction analysis of latissimus dorsi breast reconstruction versus prosthetic breast reconstruction in the surgical management of female breast cancer.Methods:We retrospectively analysed 102 female breast cancer patients diagnosed in the Department of Breast Surgery of the Affiliated Hospital of Guangdong Medical University between Jan. 2020 and Dec. 2022, and collected clinical data from the latissimus dorsi muscle reconstruction group and the prosthesis reconstruction group, comparing them in terms of operation time, postoperative complications, average length of hospital stay, total hospitalization cost, postoperative satisfaction, and cosmetic effect.Results:Patients in both the latissimus dorsi muscle group and the prosthesis group underwent successful surgery. There were significant statistical differences between the two groups in terms of nipple preservation, radiotherapy, surgery time, average postoperative hospitalization time, total hospitalization costs, overall satisfaction, and social satisfaction ( P<0.001) . Conclusions:In female breast cancer, latissimus dorsi reconstruction has fewer complications and higher satisfaction than prosthetic reconstruction, and it can be popularized in the clinic.