Li Guangxue, Mu Lan, Bi Ye, Yang Kai, Liu Yan, Peng Zhe, Zhu Yi, Zang Huiran, Cao Saisai, Zhang Peiyang, Qian Youlei
Department of Plastic and Reconstructive Surgery, Peking University People's Hospital, Beijing, PR China.
Medicine (Baltimore). 2018 Jun;97(25):e11114. doi: 10.1097/MD.0000000000011114.
The Pacman flap is a novel modality for repairing round soft-tissue defects after tumor resection. This modality provides a robust blood supply without microsurgical tissue rearrangement. This article reviews the authors' experience with Pacman flap for reconstruction of round soft-tissue defects. The safety and effectiveness of the Pacman flap are investigated.
Here, we describe a method for oncologic reconstruction of round soft-tissue defects with a Pacman flap after tumor resection. Fourteen consecutive patients (6 males and 8 females, median age of 60 years, range, 18-87 years) who received Pacman flaps for oncologic reconstruction during the period from April 2015 to April 2017 were included in the present study.
In total, 15 Pacman flaps (including 1 bilateral Pacman flap) were created to provide coverage after resection of a tumor from the face (n = 11), chest (n = 1), or extremities (n = 2). One patient had twice previously undergone tumor resection. Median defect size was 25.5 × 25 mm (range, 9 × 9-100 × 90 mm). Median flap size was 35 × 27 mm (range, 12 × 10-120 × 110 mm). Median duration of follow-up was 10 months (range, 6-22 months). No local or distal tumor was observed during the follow-up period. All flaps survived without partial or complete necrosis, infection, or other complications. All patients were satisfied with their aesthetic outcomes. A hematoma formed in 1 patient and was successfully treated with debridement.
The Pacman flap enables the surgeon to achieve tension-free round defect closure after tumor resection, with good functional and aesthetic outcomes. This modality is a reliable and effective reconstructive surgical technique for oncologic reconstruction of round soft-tissue defects.
吃豆人皮瓣是一种用于修复肿瘤切除后圆形软组织缺损的新型术式。该术式无需显微外科组织重排即可提供强大的血供。本文回顾了作者使用吃豆人皮瓣修复圆形软组织缺损的经验。对吃豆人皮瓣的安全性和有效性进行了研究。
在此，我们描述一种肿瘤切除后用吃豆人皮瓣进行圆形软组织缺损肿瘤重建的方法。本研究纳入了2015年4月至2017年4月期间连续14例接受吃豆人皮瓣进行肿瘤重建的患者（6例男性，8例女性，中位年龄60岁，范围18 - 87岁）。
总共制作了15个吃豆人皮瓣（包括1个双侧吃豆人皮瓣），用于覆盖面部（n = 11）、胸部（n = 1）或四肢（n = 2）肿瘤切除后的创面。1例患者曾两次接受肿瘤切除。缺损中位大小为25.5×25 mm（范围9×9 - 100×90 mm）。皮瓣中位大小为35×27 mm（范围12×10 - 120×110 mm）。中位随访时间为10个月（范围6 - 22个月）。随访期间未观察到局部或远处肿瘤。所有皮瓣均存活，无部分或完全坏死、感染或其他并发症。所有患者对其美学效果均满意。1例患者形成血肿，经清创成功治疗。
吃豆人皮瓣使外科医生能够在肿瘤切除后实现无张力的圆形缺损闭合，具有良好的功能和美学效果。该术式是一种用于圆形软组织缺损肿瘤重建的可靠且有效的重建手术技术。
