Immediate breast reconstruction after modified radical mastectomy and latissimus dorsi myocutaneous flap transplantation in 42 cases

doi:10.3969/j.issn.2095-4344.2014.36.028

Abstract

Abstract:

BACKGROUND: How to keep the intact shape of the breast while treating tumor has been widely concerned by more doctors and patients, breast reconstruction is introduced, developed and considered an important part in the treatment of breast tumors.
OBJECTIVE: To explore the feasibility and therapeutic effects of immediate breast reconstruction after modified radical mastectomy and latissimus dorsi myocutaneous flap transplantation.
METHODS: We retrospectively analyzed the clinical and pathological features of 42 breast cancer patients under immediate breast reconstruction after modified radical mastectomy with latissimus dorsi musculocuraneous flap or extended latissimus dorsi musculocuraneous flap. The procedure duration, postoperative complications and cosmetic outcome were assessed.
RESULTS AND CONCLUSION: Among the involved 42 patients, 33 cases underwent modified radical mastectomy, retaining the nipple and areola of breast, 9 cases underwent modified radical mastectomy, retaining the skin of breast, 24 cases underwent breast reconstruction with latissimus dorsi musculocuraneous flap,
18 cases underwent breast reconstruction with extended latissimus dorsi musculocuraneous flap. The skin flap and reconstructed breast all survived, without severe complications. According to objective evaluation results, the cosmetic outcome was good in 39 cases and fair in 3 cases. The subjective evaluation results were good in 40 cases and fair in 2 cases. All the patients were followed up for 9-41 months. One patient had bone metastasis 19 months after operation and there was no case with local recurrence. Immediate breast reconstruction after modified radical mastectomy with latissimus dorsi musculocuraneous flap is a simple and feasible operation process, with optimal effects, high security, and high survival.

中国组织工程研究杂志出版内容重点：肾移植；肝移植；移植；心脏移植；组织移植；皮肤移植；皮瓣移植；血管移植；器官移植；组织工程

全文链接：

Key words: breast neoplasms, mastectomy, modified radical, surgical flaps, transplantation

CLC Number:

R318

Zhang Min-min, Mo Jun-yang, Qin Shu-ting. Immediate breast reconstruction after modified radical mastectomy and latissimus dorsi myocutaneous flap transplantation in 42 cases[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(36): 5899-5904.

Figures/Tables 1

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