Barreau-Pouhaer L, Zekri A, Lehmann A, Petit J Y
Ann Chir Plast Esthet. 1989;34(2):97-102.
From 1976 to 1986 one hundred and twenty immediate breast reconstructions (IBR) were performed at the Gustave-Roussy Institut. 90% of these cases were treated for in situ or infiltrating carcinomas, while only 10% had prophylactic mastectomy. Over recent decades indications for IBR have progressively changed. In the first period they were reserved for prophylactic mastectomies and in situ carcinomas. Over the last several years IBR has also been proposed to patients with infiltrating carcinomas (30%). Although the adequate treatment for small invasive carcinomas is a radiosurgical conservative procedure, a mastectomy is still indicated in stage II, over three centimeters multifocal carcinomas, and local recurrence after conservative treatment. In our series, this procedure seems safe and advisable as it does not interfere with the treatment of primary and secondary disease. The low incidence of surgical complications reported in our series did not increase the hospital stay of our patients. Indications, surgical techniques including myocutaneous flaps, and results of IBR will be discussed.
1976年至1986年期间，古斯塔夫 - 鲁西研究所共进行了120例即刻乳房重建术（IBR）。其中90%的病例是针对原位癌或浸润性癌进行治疗，而只有10%的患者接受了预防性乳房切除术。近几十年来，IBR的适应症逐渐发生了变化。在第一阶段，它仅用于预防性乳房切除术和原位癌。在过去几年中，IBR也被推荐给浸润性癌患者（占30%）。尽管对于小的浸润性癌，适当的治疗方法是放射外科保守手术，但对于II期、直径超过三厘米的多灶性癌以及保守治疗后的局部复发，仍需进行乳房切除术。在我们的系列研究中，该手术似乎是安全且可取的，因为它不会干扰原发性和继发性疾病的治疗。我们系列研究中报告的手术并发症发生率较低，并未增加患者的住院时间。本文将讨论IBR的适应症、包括肌皮瓣在内的手术技术以及手术结果。
