Zheng Hongmei, Zhu Guodong, Guan Qing, Fan Wei, Li Xiang, Yu Mancheng, Xu Juan, Wu Xinhong
Department of Breast Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology and Hubei Provincial Clinical Research Center for Breast Cancer, Wuhan, China.
Hubei Key Laboratory of Medical Information Analysis and Tumor Diagnosis and Treatment, Wuhan, China.
Front Oncol. 2021 Nov 4;11:598604. doi: 10.3389/fonc.2021.598604. eCollection 2021.
There are many different methods used for immediate breast reconstruction, but the advantages and disadvantages between distinct methods are not reported and compared directly.
We collected the data of patients who underwent breast reconstruction from 2010 to 2015 and classified a total of 103 patients into three groups: i) skin- or nipple-sparing mastectomy with implant and partial latissimus dorsi flap (MIPLD); ii) skin- or nipple-sparing mastectomy with the whole latissimus dorsi flap (MWLD); and iii) breast-conserving surgery and partial latissimus dorsi flap (BCSPLD). The outcome, safety, and cosmetic outcome of the latissimus dorsi muscle flap with or without implant were reported and compared.
The procedures were successful in all cases. None of the patients had severe complications. The 5-year distant metastasis-free survival is 94.2%. All the patients exhibited good arm and back function. Based on the evaluation of the BREAST-Q score, the cosmetic outcome of Satisfaction with Breasts was excellent or good in 97.8% of the cases.
MIPLD, MWLD, and BCSPLD stand for three distinct methods for immediate breast reconstruction with good outcome and aesthetic effect. They were safe, were easy to perform, and provided quick recovery and good quality of life. Therefore, these three breast reconstructive methods are worthy of widespread use in clinical practice and provide different ways to reconstruct the breast according to the patients' conditions and preferences.
用于即刻乳房重建的方法有很多种，但不同方法之间的优缺点尚未得到直接报道和比较。
我们收集了2010年至2015年接受乳房重建患者的数据，将总共103例患者分为三组：i）保留皮肤或乳头的乳房切除术联合植入物及部分背阔肌皮瓣（MIPLD）；ii）保留皮肤或乳头的乳房切除术联合整块背阔肌皮瓣（MWLD）；iii）保乳手术联合部分背阔肌皮瓣（BCSPLD）。报告并比较了带或不带植入物的背阔肌皮瓣的手术效果、安全性和美容效果。
所有病例手术均成功。无一例患者出现严重并发症。5年无远处转移生存率为94.2%。所有患者的手臂和背部功能均良好。根据BREAST-Q评分评估，97.8%的病例乳房满意度的美容效果为优或良。
MIPLD、MWLD和BCSPLD代表了三种不同的即刻乳房重建方法，效果良好且具有美学效果。它们安全、操作简便，能使患者快速康复并拥有良好的生活质量。因此，这三种乳房重建方法值得在临床实践中广泛应用，并可根据患者的病情和偏好提供不同的乳房重建方式。
