一位85岁乳腺癌患者采用腹壁下深动脉穿支皮瓣手术进行即刻一期乳房重建。
Immediate one-stage breast reconstruction for an 85-year-old breast cancer patient using deep inferior epigastric perforator flap surgery.
作者信息
Matsui Koshi, Satake Toshihiko, Araki Misato, Kanaya Emi, Igarashi Takamichi, Okamoto Maki, Miwa Takeshi, Hirano Katsuhisa, Watanabe Toru, Sekine Shinichi, Shibuya Kazuto, Hashimoto Isaya, Hojo Shozo, Yoshioka Isaku, Okumura Tomoyuki, Fujii Tsutomu
机构信息
Department of Surgery and Science, Faculty of Medicine, Academic Assembly, University of Toyama, Toyama 9300194, Japan.
Department of Plastic, Reconstructive and Aesthetic Surgery, University of Toyama, Toyama 9300194, Japan.
出版信息
J Surg Case Rep. 2021 Jul 10;2021(7):rjab241. doi: 10.1093/jscr/rjab241. eCollection 2021 Jul.
The deep inferior epigastric perforator (DIEP) flap is widely recognized as safe for use as a first-choice option in autologous tissue breast reconstruction; however, DIEP is often not performed for breast reconstruction in the elderly. We report a case of an 85-year-old woman who underwent DIEP flap reconstruction. Immediate reconstruction was performed after mastectomy. The patient successfully underwent DIEP flap reconstruction with no complications. Other options for reconstruction include a latissimus dorsi flap, a transverse rectus abdominis flap and implant-based reconstruction. DIEP flap reconstruction was performed, which does not cause muscle damage and provides sufficient volume. To our knowledge, this study is the first to report DIEP breast reconstruction in a patient over 85 years of age. This case demonstrates the usefulness of DIEP flap reconstruction for elderly patients.
腹壁下深动脉穿支（DIEP）皮瓣被广泛认为是自体组织乳房重建中安全的首选方案；然而，老年患者进行乳房重建时通常不采用DIEP皮瓣。我们报告一例85岁女性接受DIEP皮瓣重建的病例。乳房切除术后立即进行了重建。患者成功接受了DIEP皮瓣重建，未出现并发症。其他重建方案包括背阔肌皮瓣、腹直肌横形皮瓣和假体植入重建。进行了DIEP皮瓣重建，该方法不会造成肌肉损伤且能提供足够的容量。据我们所知，本研究首次报道了85岁以上患者的DIEP乳房重建。该病例证明了DIEP皮瓣重建对老年患者的有效性。
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