Filip Cristina Iulia, Jecan Cristian Radu, Raducu Laura, Neagu Tiberiu Paul, Florescu Ioan Petre
Chirurgia (Bucur). 2017 Jul-Aug;112(4):378-386. doi: 10.21614/chirurgia.112.4.378.
When considering breast reconstruction, two main decisions have to be made: optimal timing and appropriate reconstruction technique,that would best suit each patient, while also taking into consideration the complications and risks that these decisions might lead to. By careful patient selection and individualized breast reconstruction approach, the risks and complications of the procedure can be minimized, while attaining successful aesthetic outcomes and high patient satisfaction. Breast reconstruction can be performed in three different settings: immediate reconstruction - at the time of mastectomy; delayed reconstruction " after the completion of the adjuvant treatment and in a delayed-immediate setting that uses both previous methods" includes tissue expansion at the time of mastectomy and definitive reconstruction performed after completion of the adjuvant treatment. The strategies perfected for decades in breast reconstructive surgery have now made breast reconstruction more possible than ever, thus offering patients the chance to recover after a mastectomy procedure with a new reconstructed breast. Although, the choice of breast reconstruction is not adressed by all breast cancer patients, rates are gradually expanding while new and improved techniques are rapidly developing.
在考虑乳房重建时，需要做出两个主要决定：最佳时机和合适的重建技术，这两者要最适合每位患者，同时还要考虑这些决定可能导致的并发症和风险。通过仔细的患者选择和个性化的乳房重建方法，可以将手术的风险和并发症降至最低，同时实现成功的美学效果并提高患者满意度。乳房重建可以在三种不同的情况下进行：即刻重建——在乳房切除时进行；延迟重建——在辅助治疗完成后进行；以及延迟即刻重建，即同时采用前两种方法，包括在乳房切除时进行组织扩张，并在辅助治疗完成后进行最终重建。几十年来在乳房重建手术中完善的策略现在使乳房重建比以往任何时候都更有可能实现，从而为患者提供了在乳房切除手术后通过新的重建乳房恢复的机会。尽管并非所有乳腺癌患者都会选择乳房重建，但随着新技术的不断涌现和改进，其比例正在逐渐扩大。
