Department of Breast Surgery, National Cancer Institute, Cairo University, Cairo, Egypt.
Department of Surgical Oncology, National Cancer Institute, Nr 1.Fom el Khalig, Kasr el Aini str, Cairo, Egypt.
World J Surg Oncol. 2017 Oct 16;15(1):185. doi: 10.1186/s12957-017-1254-9.
Thoracodorsal artery perforator (TDAP) flap is one of the relatively new techniques in breast reconstruction. This pedicled flap retains the benefits of perforator flaps as regards minimal donor site morbidity without the need for microvascular anastomosis. Its role in partial breast reconstruction has been well documented. However, there are few reports about the role of this flap in total breast reconstruction.
This study included 47 cases who presented to the breast unit of the National Cancer Institute of Cairo University from 2013 to 2015. All patients underwent nipple-sparing mastectomy with immediate implant-based reconstruction. The TDAP flap was used to complete the subpectoral pocket for the implants in a way similar to the acellular dermal matrix.
Overall complication rate was 14.9%. Capsular contracture occurred in 6.4%.There were no donor site complications. The majority of patients were satisfied with their cosmetic results. Sixty-eight percent rated their result as "excellent" or "good."
Thoracodorsal artery perforator flap can play a significant role in total breast reconstruction. In settings with limited resources, this flap can serve as an available autologous alternative to acellular dermal matrix.
胸背动脉穿支（TDAP）皮瓣是乳房重建中相对较新的技术之一。这种带蒂皮瓣保留了穿支皮瓣的优势，即微创供区并发症少，无需进行微血管吻合。它在部分乳房重建中的作用已有充分的记录。然而，关于该皮瓣在全乳房重建中的作用的报道很少。
本研究纳入了 2013 年至 2015 年期间在开罗大学国家癌症研究所乳腺科就诊的 47 例患者。所有患者均接受了保留乳头的乳房切除术和即刻基于植入物的重建。TDAP 皮瓣用于完成植入物的胸肌下口袋，方法类似于脱细胞真皮基质。
总体并发症发生率为 14.9%。包膜挛缩发生率为 6.4%。供区无并发症。大多数患者对他们的美容效果满意。68%的患者认为他们的结果为“优秀”或“良好”。
胸背动脉穿支皮瓣在全乳房重建中可以发挥重要作用。在资源有限的情况下，这种皮瓣可以作为脱细胞真皮基质的一种可行的自体替代物。
