游离网膜瓣用于保乳手术后的部分乳房重建。
Free omental flap for partial breast reconstruction after breast-conserving surgery.
机构信息
Okinawa and Tochigi, Japan From the Department of Breast Surgery, Nakagami Hospital, and the Department of Plastic Reconstructive Surgery, Dokkyo Medical University.
出版信息
Plast Reconstr Surg. 2012 Mar;129(3):583-587. doi: 10.1097/PRS.0b013e3182402cc6.
UNLABELLED
Recent advances in endoscopic surgery have allowed laparoscopic harvesting of the omental flap with reduced donor-site morbidity and deformity. Between August of 2004 and May of 2010, the authors performed immediate breast reconstruction with the free omental flap in 10 breast cancer patients, employing it either as a pedicle flap or as a free flap for volume replacement. Only one complication occurred during the follow-up. Cosmetic results were mostly satisfactory. The free omental flap is a safe procedure with minimal donor-site morbidity and deformity and can be an additional option for immediate partial breast reconstruction after breast-conserving surgery.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
摘要
最近内窥镜手术的进步使得腹腔镜下腹膜瓣采集成为可能，减少了供区的发病率和畸形。作者在 2004 年 8 月至 2010 年 5 月期间，为 10 例乳腺癌患者进行了游离网膜瓣即刻乳房重建，将其作为带蒂皮瓣或游离皮瓣用于体积置换。在随访期间仅发生 1 例并发症。美容效果大多满意。游离网膜瓣是一种安全的手术，供区发病率和畸形程度低，可作为保乳手术后即刻部分乳房重建的另一种选择。
临床问题/证据水平：治疗，IV 级。
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