Babin Guillaume, Commeny Julie, Fournier Marion, Rousvoal Aurélien, Kabbani Youssef, Debled Marc, Jaffre Anne, Tunon de Lara Christine
Institut Bergonié, département de chirurgie, 229, cours de l'Argonne, 33000 Bordeaux, France; Université de Bordeaux, 146, rue Léo-Saignat, 33000 Bordeaux, France.
Institut Bergonié, département de chirurgie, 229, cours de l'Argonne, 33000 Bordeaux, France.
Bull Cancer. 2017 Jun;104(6):508-515. doi: 10.1016/j.bulcan.2017.03.003. Epub 2017 May 16.
The objective of our study is to describe the practices of breast reconstruction in patients aged 70 years and over undergoing a radical mastectomy at institut Bergonié.
We performed a detailed single-site retrospective study from January 2005 to December 2015. Through a computerized review, we have identified and analyzed all patients aged 70 years and over who underwent a breast reconstruction.
Five hundred and ninety patients underwent a radical mastectomy during the period. Twenty-eight patients (4.7%) benefited from a breast reconstruction. Nineteen patients (67.9%) had an immediate breast reconstruction and 9 patients (32.1%) had a delayed breast reconstruction, within an average time of 2 years. Sixteen patients (57.1%) benefited from the insertion of an expander replaced by a permanent implant. Five patients (17.9%) benefited from the immediate placement of an implant. Six patients (21.4%) had a reconstruction by autologous latissimus dorsi flap and 1 patient (3.6%) by exclusive lipofilling. Four patients (14.3%) presented postoperative complications without the need for removal of an implant or flap loss. Twenty patients (71.4%) were satisfied with their final reconstruction.
Breast reconstruction in elderly patients is possible. Further studies are needed to better describe French practices.
我们研究的目的是描述在贝戈涅研究所接受根治性乳房切除术的70岁及以上患者的乳房重建情况。
我们进行了一项详细的单中心回顾性研究，时间跨度为2005年1月至2015年12月。通过计算机化检索，我们识别并分析了所有70岁及以上接受乳房重建的患者。
在此期间，590例患者接受了根治性乳房切除术。28例患者（4.7%）接受了乳房重建。19例患者（67.9%）进行了即刻乳房重建，9例患者（32.1%）进行了延迟乳房重建，平均延迟时间为2年。16例患者（57.1%）接受了扩张器植入并随后更换为永久性植入物。5例患者（17.9%）接受了即刻植入物植入。6例患者（21.4%）通过背阔肌自体皮瓣进行了重建，1例患者（3.6%）仅通过脂肪填充进行了重建。4例患者（14.3%）出现了术后并发症，但无需取出植入物或皮瓣丢失。20例患者（71.4%）对最终的重建效果满意。
老年患者进行乳房重建是可行的。需要进一步研究以更好地描述法国的相关做法。
