Song Xiang-Yang, Guan Dan-Dan, Lin Hui, Dai Yi, Zheng Xue-Yong, Zhu Yi-Ping, Wang Xian-Fa
Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2011 Nov;27(6):401-5.
To report our primary experience with immediate breast reconstruction using laparoscopically harvested omental flap after breast-conserving surgery. The safety, feasibility, and clinical effect are also evaluated.
From Jun. 2010 to Jan. 2011, 5 cases who underwent immediate breast reconstruction using laparoscopically harvested omental flap after breast-conserving surgery were retrospectively analyzed. The operative duration, postoperative days in hospital, complication and therapeutic effect were reviewed.
All the patients were treated successfully without laparotomy. The average operative duration was 310 min, including 60 min for harvesting the omental flap. The median postoperative days in hospital was 8 days (ranged, 5-9 days). One case complained of slight pulled feeling in upper abdomen. No other complication happened. The cosmetic result of reconstructed breasts was satisfactory.
The immediate breast reconstruction using laparoscopically harvested omental flap is safe and feasible with less morbidity in donor sites and good cosmetic effect. It is one of the ideal methods for immediate breast reconstruction.
报告我们在保乳手术后使用腹腔镜获取的大网膜瓣进行即刻乳房重建的初步经验。同时评估其安全性、可行性及临床效果。
回顾性分析2010年6月至2011年1月间5例行保乳手术后使用腹腔镜获取的大网膜瓣进行即刻乳房重建的患者。对手术时间、术后住院天数、并发症及治疗效果进行了回顾。
所有患者均未行剖腹手术而成功治疗。平均手术时间为310分钟，其中获取大网膜瓣时间为60分钟。术后住院天数中位数为8天（范围5 - 9天）。1例患者诉上腹部有轻微牵拉感。未发生其他并发症。重建乳房的美容效果满意。
使用腹腔镜获取的大网膜瓣进行即刻乳房重建安全可行，供区并发症少，美容效果良好。是即刻乳房重建的理想方法之一。
