Rini Irena Sakura, Gunardi Alberta Jesslyn, Marsaulina Renate Parlene, Aryandono Teguh, Dachlan Ishandono, Dwiprahasto Iwan
Department of Plastic Surgery, Dharmais Cancer Hospital, West Jakarta, Indonesia.
Divisions of Oncology Surgery, Department of Surgery, Dr. Sardjito Hospital, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Arch Plast Surg. 2020 Nov;47(6):535-541. doi: 10.5999/aps.2020.00094. Epub 2020 Nov 15.
The keystone design perforator island flap can be utilized in the repair of trunk defects. A systematic review was carried out to identify the complication rates of the use of this flap to treat such defects. The MEDLINE, Embase, Cochrane Library, and PubMed Central databases were searched for articles published between January 2003 and December 2018 that reported the use of keystone design perforator island flaps in the repair of trunk defects. Study selection was conducted in alignment with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Eight articles involving a total of 54 flaps satisfied the inclusion criteria. The most frequently reported cause of trunk defects was oncologic resection (64.4%). The overall complication rate was 35.2%, and complications included infection (11.1%), wound dehiscence (7.4%), delayed healing (7.4%), and partial flap loss (1.9%). The keystone design perforator island flap is associated with a high success rate and low technical complexity. Despite minor complications, keystone design flaps could be a preferred choice for trunk reconstruction.
关键设计穿支岛状皮瓣可用于修复躯干缺损。进行了一项系统评价，以确定使用该皮瓣治疗此类缺损的并发症发生率。检索了MEDLINE、Embase、Cochrane图书馆和PubMed Central数据库，查找2003年1月至2018年12月期间发表的报告使用关键设计穿支岛状皮瓣修复躯干缺损的文章。研究选择遵循系统评价和Meta分析的首选报告项目声明。8篇文章共涉及54个皮瓣，符合纳入标准。躯干缺损最常见的原因是肿瘤切除（64.4%）。总体并发症发生率为35.2%，并发症包括感染（11.1%）、伤口裂开（7.4%）、愈合延迟（7.4%）和部分皮瓣坏死（1.9%）。关键设计穿支岛状皮瓣成功率高且技术难度低。尽管有轻微并发症，但关键设计皮瓣可能是躯干重建的首选。
