Buntic Rudolf, Li Alexander Y
Division of Microsurgery, The Buncke Clinic, San Francisco, California.
Division of Plastic and Reconstructive Surgery, Stanford University, Stanford, California.
Semin Plast Surg. 2022 Dec 19;36(4):253-259. doi: 10.1055/s-0042-1759573. eCollection 2022 Nov.
Breast reconstruction is becoming increasingly recognized as a fundamental component in comprehensive breast cancer treatment. The primary goal for any reconstruction is to safely restore a natural appearing breast. When it comes to achieving the elements of size, shape, symmetry, and softness, the use of autologous tissue has many advantages. The approach to autologous breast reconstruction has changed substantially over the years as microsurgical free tissue transplants become more routine and accessible. While a variety of flap donor sites exist, careful flap selection based on surgical history and the availability of donor tissue is critical in achieving reliable results. This article reviews the clinical considerations in patient evaluation, donor site selection, and surgical approach taken at the Buncke Clinic.
乳房重建日益被视为综合乳腺癌治疗的一个基本组成部分。任何重建的主要目标都是安全地恢复外观自然的乳房。在实现大小、形状、对称性和柔软度等要素方面，自体组织的使用具有许多优势。随着显微外科游离组织移植变得更加常规且易于实施，多年来自体乳房重建的方法已发生了很大变化。虽然存在多种皮瓣供区，但根据手术史和供体组织的可用性仔细选择皮瓣对于获得可靠结果至关重要。本文回顾了邦克诊所（Buncke Clinic）在患者评估、供区选择和手术方法方面的临床考量。
