Yang Jung Dug, Ryu Dong Wan, Lee Jeong Woo, Choi Kang Young, Chung Ho Yun, Cho Byung Chae, Park Ho Yong, Byun Jin Suk
Department of Plastic and Reconstructive Surgery, Graduated School of Medicine, Kyungpook National University, Daegu, Korea.
Arch Plast Surg. 2013 Jul;40(4):367-73. doi: 10.5999/aps.2013.40.4.367. Epub 2013 Jul 17.
Breast-conserving surgery is widely accepted as an appropriate method in breast cancer, and the lateral thoracodorsal flap provides a simple, reliable technique, especially when a mass is located in the lateral breast. This study describes the usefulness of a lateral thoracodorsal flap after breast conserving surgery in laterally located breast cancer.
From September 2008 to February 2013, a lateral thoracodorsal flap was used in 20 patients with laterally located breast cancer treated at our institution. The technique involves a local medially based, wedge shaped, fasciocutaneous transposition flap from the lateral region of the thoracic area. Overall satisfaction and aesthetic satisfaction surveys were conducted with the patients during a 6-month postoperative follow-up period. Aesthetic results in terms of breast shape and symmetry were evaluated by plastic surgeons.
The average specimen weight was 76.8 g. The locations of the masses were the upper lateral quadrant (n=15), the lower lateral quadrant (n=2), and the central lateral area (n=3). Complications developed in four of the cases, partial flap necrosis in one, wound dehiscence in one, and fat necrosis in two. The majority of the patients were satisfied with their cosmetic outcomes.
Partial breast reconstruction using a lateral thoracodorsal flap is well matched with breast color and texture, and the surgery is less aggressive than other techniques with few complications. Therefore, the lateral thoracodorsal flap can be a useful, reliable technique in correcting breast deformity after breast conserving surgery, especially in laterally located breast cancer.
保乳手术被广泛认为是治疗乳腺癌的一种合适方法，胸背外侧皮瓣提供了一种简单、可靠的技术，尤其是当肿块位于乳房外侧时。本研究描述了胸背外侧皮瓣在保乳手术后用于治疗外侧乳腺癌的有效性。
2008年9月至2013年2月，我们机构对20例外侧乳腺癌患者使用了胸背外侧皮瓣。该技术采用来自胸部外侧区域的局部内侧基底楔形筋膜皮瓣移位术。在术后6个月的随访期内对患者进行总体满意度和美学满意度调查。由整形外科医生评估乳房形状和对称性方面的美学效果。
标本平均重量为76.8克。肿块位置为外上象限（n = 15）、外下象限（n = 2）和外侧中央区（n = 3）。4例出现并发症，1例部分皮瓣坏死，1例伤口裂开，2例脂肪坏死。大多数患者对其美容效果满意。
使用胸背外侧皮瓣进行部分乳房重建与乳房颜色和质地匹配良好，且该手术比其他技术创伤性小，并发症少。因此，胸背外侧皮瓣在保乳手术后矫正乳房畸形方面可以是一种有用、可靠的技术，尤其是对于外侧乳腺癌。
