Sufi P A, Gittos M, Collier D S
The Breast Unit, Basildon Hospital, Nethermayne, Basildon, SS16 5NL, UK.
Eur J Surg Oncol. 2000 Jun;26(4):367-70. doi: 10.1053/ejso.1999.0900.
To develop an oncologically safe and aesthetically acceptable technique for mastectomy, using a muscle flap and tissue expander through one incision.
Twelve consecutive patients (mean age 40) underwent an envelope mastectomy (skin and nipple sparing), with immediate reconstruction with a latissimus dorsi muscle flap and tissue expander. Assessment of cosmesis was by review of pre- and post-operative photographs by an independent observer.
During follow-up there have been no recurrences. Assessment of cosmesis gave a score of 44 out of 48 (92%). One prosthesis was removed due to erosion of the prosthesis through the skin.
In patients with large lesions, multi-focal lesions (both invasive and in situ) and recurrent phyllodes tumours may undergo an oncologically safe mastectomy with immediate reconstruction through a single incision that is inconspicuous being in the mid-axillary line. Although follow up is only 8.5 months, long-term studies are being undertaken.
开发一种肿瘤学安全且美观可接受的乳房切除术技术，通过一个切口使用肌皮瓣和组织扩张器。
连续12例患者（平均年龄40岁）接受了保留皮肤和乳头的包膜乳房切除术，并立即用背阔肌肌皮瓣和组织扩张器进行重建。由独立观察者通过术前和术后照片评估美容效果。
随访期间无复发。美容效果评估得分为48分中的44分（92%）。一个假体因假体穿出皮肤而被取出。
对于有大病灶、多灶性病灶（包括浸润性和原位性）以及复发性叶状肿瘤的患者，可通过腋窝中线不显眼的单一切口进行肿瘤学安全的乳房切除术并立即重建。尽管随访仅8.5个月，但正在进行长期研究。
