Research progress of breast reconstruction in the prevention and treatment of breast cancer-related lymphedema
10.3760/cma.j.cn112139-20231124-00238
- VernacularTitle:乳房重建在乳腺癌相关淋巴水肿防治中的研究进展
- Author:
Yue ZHOU
1
;
Shuang HAO
;
Jiong WU
Author Information
1. 复旦大学附属肿瘤医院乳腺外科 复旦大学上海医学院肿瘤学系，上海200032
- Keywords:
Breast neoplasms;
Mastectomy;
Lymphedema;
Breast reconstruction
- From:
Chinese Journal of Surgery
2024;62(8):787-792
- CountryChina
- Language:Chinese
-
Abstract:
Advances in the diagnosis and treatment of breast cancer have significantly improved survival rates. Breast cancer-related lymphedema is the most common mid-and long-term complication after breast cancer surgery, which seriously affects the quality of life. Breast reconstruction can not only restore the shape of the breasts after mastectomy, but also reduce the occurrence of lymphedema to some extent. Immediate autologous breast reconstruction combined with lymphatic venous anastomosis (LVA) or vascularized lymph node transfer (VLNT) can effectively prevent lymphedema. Delayed breast reconstruction combined with LVA or VLNT can achieve the dual benefits of restoring the appearance and treating lymphedema at the same time. The autologous tissue flap can function as a bridge to promote lymphatic drainage, thus enhancing the treatment of lymphedema. The advances mentioned above in surgical techniques have provided a basis for decision making in breast reconstruction and the prevention and treatment of breast cancer-related lymphedema, and have also brought hope for improving the quality of life of patients.
