Delay E, Gosset J, Toussoun G, Delaporte T, Delbaere M
Unité de chirurgie plastique et reconstructrice, centre Léon-Bérard, 28, rue Laënnec, 69373 Lyon cedex 08, France.
Ann Chir Plast Esthet. 2008 Apr;53(2):153-68. doi: 10.1016/j.anplas.2007.09.005. Epub 2007 Dec 11.
We report a study of 42 breast cancer patients undergoing lipomodelling, or fat transfer, for sequelae of conservative treatment. Detailed clinical and radiological data of the patients have been collected. These data demonstrate the feasibility of lipomodelling: the technique is simple but requires a learning curve to avoid cytosteatonecrotic lesions; the excellent results obtained in terms of shape and softness of the breast; no surgical implant or flap reconstruction is necessary; the reliability of the procedure: there is normal fat wasting within the first months after treatment, then results stabilize as the patient maintains a healthy weight; the small number of side-effects: only rare, predominantly infectious, rapidly resolving complications are induced. In conclusion, the fat transfer approach presented here represents a considerable advance for the management of moderate sequelae of conservative breast treatment. Using this technique makes it possible to restore the shape and softness of the breast better than any other surgical procedure before, particularly for patients with mild breast deformity.
我们报告了一项针对42名因保守治疗后遗症而接受脂肪塑形或脂肪移植的乳腺癌患者的研究。已收集了患者详细的临床和放射学数据。这些数据证明了脂肪塑形的可行性:该技术简单,但需要一个学习曲线以避免脂肪坏死性病变;在乳房形状和柔软度方面取得了优异的效果;无需手术植入物或皮瓣重建;该手术的可靠性:治疗后的头几个月内脂肪会正常消耗,然后随着患者保持健康体重,效果会稳定下来;副作用较少:仅会引发罕见的、主要为感染性的且能迅速解决的并发症。总之,本文介绍的脂肪移植方法代表了保守性乳腺治疗中度后遗症管理方面的一项重大进展。使用该技术能够比以往任何其他外科手术更好地恢复乳房的形状和柔软度,特别是对于轻度乳房畸形的患者。