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乳腺癌保乳整形术中Limberg皮瓣的再探讨——三级癌症中心的经验

Limberg Flap in Breast Oncoplasty for Carcinoma Breast Revisited-a Tertiary Cancer Centre Experience.

作者信息

Bhargavan Rexeena V, Augustine Paul, Cherian Kurian

机构信息

Department of Surgical Services, Regional Cancer Centre, Medial College Complex, Thiruvananthapuram, 695011 Kerala India.

出版信息

Indian J Surg Oncol. 2022 Dec;13(4):876-879. doi: 10.1007/s13193-022-01589-5. Epub 2022 Jul 21.

Abstract

Limberg flap is currently not commonly used in breast oncoplasty. We present our experience with Limberg flap reconstruction in breast cancer patients who underwent breast conservation surgery. This study was conducted at a tertiary cancer centre in Kerala, India. We reviewed the records of patients with breast cancer who underwent Limberg flap reconstruction with breast conservation surgery from 1 January 2020 to 31 October 2021. Data collected included age, quadrant of tumour, side of tumour, T and N stage, status at surgery (primary or post neoadjuvant therapy), type of surgery, flap complications following surgery and breast deformity following surgery. Seventeen patients underwent Limberg flap reconstruction during the study period. The median age of the patients was 51 years. The commonest stage was cT1N0M0. Twelve patients underwent primary surgery and 5 post neoadjuvant chemotherapy. No patient had postoperative flap complications or breast deformity. Limberg flap is simple, versatile and robust and should be a part of the armamentarium of breast surgeons.

摘要

林贝格皮瓣目前在乳腺癌整形手术中并不常用。我们介绍了在接受保乳手术的乳腺癌患者中使用林贝格皮瓣重建的经验。本研究在印度喀拉拉邦的一家三级癌症中心进行。我们回顾了2020年1月1日至2021年10月31日期间接受林贝格皮瓣重建保乳手术的乳腺癌患者的记录。收集的数据包括年龄、肿瘤象限、肿瘤侧别、T和N分期、手术状态(初次手术或新辅助治疗后)、手术类型、术后皮瓣并发症及术后乳房畸形情况。在研究期间,17例患者接受了林贝格皮瓣重建。患者的中位年龄为51岁。最常见的分期为cT1N0M0。12例患者接受了初次手术,5例接受了新辅助化疗后手术。没有患者出现术后皮瓣并发症或乳房畸形。林贝格皮瓣简单、通用且可靠,应成为乳腺外科医生的技术储备之一。

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