Chang Edward I, Masià Jaume, Smith Mark L
Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas.
Department of Plastic Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autonoma de Barcelona, Barcelona, Spain.
Semin Plast Surg. 2018 Feb;32(1):36-41. doi: 10.1055/s-0038-1632402. Epub 2018 Apr 9.
Breast cancer patients are at risk for developing postmastectomy lymphedema syndrome of the ipsilateral upper extremity following treatment for breast cancer in the setting of an axillary dissection, postoperative radiation, and chemotherapy. For patients suffering from lymphedema who are also seeking breast reconstruction, combining an autologous abdominal free flap with a vascularized inguinal lymph node transfer provides patients the opportunity to have an aesthetic breast reconstruction as well as the potential to improve their lymphedema in a single operation. The present article aims to provide a description of the salient features of this approach including the preoperative preparation, the surgical technique, the postoperative management and complications, and a summary of the outcomes.
乳腺癌患者在接受腋窝清扫、术后放疗和化疗等乳腺癌治疗后，有发生同侧上肢乳房切除术后淋巴水肿综合征的风险。对于同时患有淋巴水肿且寻求乳房重建的患者，将自体腹部游离皮瓣与带血管蒂腹股沟淋巴结转移相结合，可为患者提供在一次手术中进行美观的乳房重建以及改善淋巴水肿的机会。本文旨在描述这种方法的显著特点，包括术前准备、手术技术、术后管理及并发症，并总结治疗效果。
