Kijima Yuko, Yoshinaka Heiji, Owaki Tetsuhiro, Funasako Yawara, Aikou Takashi
Department of Surgical Oncology, Breast and Endocrine Surgery, Kagoshima University Graduate School of Medical and Dental Sciences 8-35-1, Sakuragaoka, Kagoshima 890-8520, Japan.
Am J Surg. 2007 Jun;193(6):789-91. doi: 10.1016/j.amjsurg.2006.06.052.
Treatment of early breast cancer using breast conservative therapy (BCT) usually ensures local control and acceptable cosmetic results. To repair defects caused by partial mastectomy in the lower region of the breast, some reconstruction should be used. We developed a procedure involving the cranial based adipofascial (anterior rectus sheath) flap from immediately below the inframammary area for the reconstruction of defect due to partial mastectomy for patients with early breast cancer. In this procedure, a skin incision is made at the inframammary line, and the inframammary skin area is undermined. A tongue shaped flap composed of the subcutaneous fat and the anterior sheath of rectus abdominis muscle is pulled up and a C-shaped flap is rotated, gathered, and inserted to reconstruct the breast defect.
采用保乳治疗（BCT）处理早期乳腺癌通常可确保局部控制并获得可接受的美容效果。为修复乳房下部区域部分乳房切除所致的缺损，应采用一些重建方法。我们开发了一种手术方法，即利用乳房下区域正下方的颅底脂肪筋膜（腹直肌前鞘）皮瓣为早期乳腺癌患者因部分乳房切除所致的缺损进行重建。在该手术中，于乳房下线处做皮肤切口，分离乳房下皮肤区域。将由皮下脂肪和腹直肌前鞘组成的舌形皮瓣向上牵拉，旋转、聚拢并插入一个C形皮瓣以重建乳房缺损。
