Myers Paige L, Nelson Jonas A, Allen Robert J
Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Gland Surg. 2021 Jan;10(1):444-459. doi: 10.21037/gs.2020.03.16.
The gold standard for autologous reconstruction in the post-mastectomy patient remains the deep inferior epigastric artery perforator flap, although many women may not be candidates for abdominally based free tissue transfer. In this scenario, there are several other donor site options based from the thigh (transverse and diagonal upper gracilis flaps, profunda artery perforator flap, lateral thigh flap) and trunk (lumbar artery perforator flap, superior and inferior gluteal artery perforator flaps). This study will review the history, relevant anatomy, surgical technique and outcomes for alternative flaps in autologous reconstruction. Additionally, preoperative imaging (CTA, MRA) and novel applications (stacking flaps, neurotization) in breast reconstructive microsurgery will be discussed.
对于乳房切除术后患者的自体乳房重建，尽管许多女性可能不适合采用基于腹部的游离组织移植，但深下腹动脉穿支皮瓣仍是金标准。在这种情况下，还有其他几种供区选择，包括大腿（横行和斜行上股薄肌皮瓣、旋股深动脉穿支皮瓣、股外侧皮瓣）和躯干（腰动脉穿支皮瓣、臀上和臀下动脉穿支皮瓣）。本研究将回顾自体乳房重建中替代皮瓣的历史、相关解剖结构、手术技术和效果。此外，还将讨论乳房重建显微外科中的术前影像学检查（CTA、MRA）和新应用（皮瓣堆叠、神经化）。
