de Weerd L, Elvenes O P, Strandenes E, Weum S
Department of Plastic Surgery and Hand Surgery, University Hospital of Tromso, 9038, Tromso, Norway.
Br J Plast Surg. 2003 Mar;56(2):180-3. doi: 10.1016/s0007-1226(03)00039-0.
Autologous breast reconstruction with a perforator flap has become increasingly popular. This paper presents the free lumbar artery perforator (LAP) flap as an option for breast reconstruction. Flap harvest is easy, no muscle is sacrificed and donor-site morbidity is minimal. Anastomosis of the sensory nerve to the fourth intercostal nerve is possible. The successful use of a LAP flap for breast reconstruction is illustrated with a case report, and the surgical technique is described. This method may be a good alternative for patients with relative contraindications to breast reconstruction with a DIEP flap.
采用穿支皮瓣进行自体乳房重建越来越受欢迎。本文介绍了游离腰动脉穿支（LAP）皮瓣作为乳房重建的一种选择。皮瓣切取容易，不牺牲肌肉，供区并发症极少。感觉神经可与第四肋间神经进行吻合。通过一例病例报告说明了LAP皮瓣在乳房重建中的成功应用，并描述了手术技术。对于行腹壁下动脉穿支（DIEP）皮瓣乳房重建存在相对禁忌证的患者，该方法可能是一个很好的替代选择。
