Kim Jae Bong, Kim Dong Kyu, Lee Jeong Woo, Choi Kang Young, Chung Ho Yun, Cho Byung Chae, Park Ho Yong, Lee Jee Yeon, Yang Jung Dug
Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, Korea.
Department of Surgery, Kyungpook National University School of Medicine, Daegu, Korea.
Arch Plast Surg. 2018 Jan;45(1):29-36. doi: 10.5999/aps.2017.01200. Epub 2017 Oct 27.
The emergence of breast-conserving surgery combined with radiotherapy as the treatment of choice for early stage breast cancer has resulted in greater focus on oncoplastic breast surgery. The use of perforator flaps has particularly gained in reputation for its effectiveness in the reconstruction of partial breast defects in Korean women. Herein, we present our experience with the use of thoracodorsal artery perforator (TDAP) and lateral intercostal artery perforator (LICAP) flaps.
This study included 33 patients who underwent breast reconstruction using TDAP or LICAP flaps at our hospital from January 2011 to December 2014. Data from patient medical records, and patient satisfaction surveys, which were conducted 12 months postoperatively, were retrospectively evaluated.
TDAP and LICAP flap-based reconstructions were performed in 14 and 19 patients, respectively. Five patients developed complications that required additional intervention. Overall patient satisfaction was observed to be excellent in 15 (46%) patients, and good in 12 (36%).
Based on our experience, oncoplastic breast surgery using TDAP or LICAP flap is an effective remodeling technique for small-to-moderate breast defects in Korean women with smaller breasts.
保乳手术联合放疗作为早期乳腺癌的首选治疗方法的出现，使得人们更加关注肿瘤整形乳房手术。穿支皮瓣因其在韩国女性部分乳房缺损重建中的有效性而尤其声名远扬。在此，我们介绍我们使用胸背动脉穿支（TDAP）皮瓣和肋间外侧动脉穿支（LICAP）皮瓣的经验。
本研究纳入了2011年1月至2014年12月期间在我院接受TDAP或LICAP皮瓣乳房重建的33例患者。回顾性评估患者病历数据以及术后12个月进行的患者满意度调查结果。
分别对14例和19例患者进行了基于TDAP和LICAP皮瓣的重建。5例患者出现需要额外干预的并发症。总体患者满意度在15例（46%）患者中为优秀，12例（36%）患者中为良好。
基于我们的经验，对于乳房较小的韩国女性，使用TDAP或LICAP皮瓣进行肿瘤整形乳房手术是一种用于中小乳房缺损的有效重塑技术。
