Department of Plastic and Hand Surgery, University Hospital Erlangen, Friedrich Alexander University Erlangen-Nuernberg FAU, Erlangen, Germany.
Department of Plastic Hand and Burn Surgery, University Hospital, RWTH Aachen, Aachen, Germany.
Med Sci Monit. 2019 May 12;25:3520-3536. doi: 10.12659/MSM.914665.
Post-mastectomy autologous reconstruction with abdominal tissue has evolved over the past 4 decades and is a common reconstructive modality today. To gain more insight into this evolution, we performed an analysis of the 100 most commonly cited articles focusing on autologous breast reconstruction with transverse rectus abdominis musculocutaneous (TRAM) or deep inferior epigastric perforator (DIEP) flaps. A review of the ISI Web of Knowledge database was performed. Only peer-reviewed articles in English were included for analysis. Articles were ranked by their total citations as well as citation density (citations divided by years since publication). The 100 most cited articles were analyzed by their bibliographic parameters. The 100 most cited articles were published in 12 journals. The highest ranked plastic surgery journal published almost 2/3 of the articles. All articles were published within 23 years and marked the "rising age" of autologous breast reconstruction with TRAM and DIEP flaps. The focus of clinical research changed over this time period and ranged from innovations in surgical technique to analysis of clinical outcomes, comparative analyses with other reconstructive modalities, timing of reconstruction, and preoperative diagnostic workup, as well as cost-effectiveness analyses. This literature review illustrates the dramatic change that has occurred subsequent to introduction of abdominal flaps for breast reconstruction. While the use of abdominal flaps has become widely accepted for breast reconstruction, many questions remain unanswered, thus highlighting the need for ongoing clinical investigation.
过去 40 年来，腹部组织的乳房切除术后自体重建已经发展起来，如今已成为一种常见的重建方式。为了更深入地了解这一演变，我们对 100 篇最常被引用的重点关注横腹直肌肌皮瓣（TRAM）或腹壁下动脉穿支皮瓣（DIEP）游离自体乳房重建的文章进行了分析。对 ISI Web of Knowledge 数据库进行了检索。仅纳入英文同行评议文章进行分析。根据总引用次数和引用密度（引用数除以发表后年份）对文章进行排名。对 100 篇最常被引用的文章进行了文献参数分析。这 100 篇最常被引用的文章发表在 12 种期刊上。排名最高的整形外科学期刊发表了近三分之二的文章。所有文章均在 23 年内发表，标志着 TRAM 和 DIEP 皮瓣游离自体乳房重建的“年龄”不断上升。在此期间，临床研究的重点发生了变化，范围从手术技术创新到临床结果分析、与其他重建方式的比较分析、重建时机以及术前诊断检查，以及成本效益分析。这篇文献综述说明了腹部皮瓣用于乳房重建后发生的巨大变化。尽管腹部皮瓣在乳房重建中的应用已被广泛接受，但仍有许多问题尚未得到解答，这突出表明需要进行持续的临床研究。
