Division of Breast Surgery, Department of Surgical Oncology, Hangzhou Cancer Hospital, Zhejiang, China.
Division of Breast Surgery, Department of Surgical Oncology, Hangzhou Cancer Hospital, Zhejiang, China.
Asian J Surg. 2023 Sep;46(9):3755-3759. doi: 10.1016/j.asjsur.2023.03.064. Epub 2023 Mar 24.
To study the feasibility, safety, and effectiveness of lateral thoracic adipofascial flaps in reconstructing the defects following breast-conserving surgery (BCS) in breasts with either no ptosis or mild ptosis.
37 female patients who underwent BCS and lateral thoracic adipofascial flap breast reconstruction between June 2020 and July 2022 were analysed. Surgery-related complications, intraoperative positive margin, local recurrence, and cosmetic outcome were assessed.
Three local complications occurred in patients, all of which were cured by conservative treatment. Additionally, four patients had intraoperative positive margins. After a median follow-up period of 17.5 months, none of the patients showed local recurrence. All patients achieved a satisfactory breast shape. Further, patients without ptosis achieved good volume and symmetry. However, the breast symmetry was not satisfactory for patients with ptosis.
It is reliable and effective to use the lateral thoracic adipofascial flaps to reconstruct the defects after BCS when the breast is not ptotic and the lesions are located in the lateral and central quadrants.
研究在无或轻度乳房下垂的乳房中，应用侧胸脂肪筋膜皮瓣修复保乳术后（BCS）缺损的可行性、安全性和有效性。
分析 2020 年 6 月至 2022 年 7 月间接受 BCS 和侧胸脂肪筋膜皮瓣乳房重建的 37 例女性患者。评估手术相关并发症、术中阳性切缘、局部复发和美容结果。
3 例患者出现局部并发症，均经保守治疗治愈。此外，4 例患者术中切缘阳性。中位随访 17.5 个月后，无患者出现局部复发。所有患者均获得满意的乳房形态。进一步的，无乳房下垂的患者获得了良好的体积和对称性。然而，对于有乳房下垂的患者，乳房对称性并不理想。
对于无乳房下垂且病变位于外侧和中央象限的患者，应用侧胸脂肪筋膜皮瓣修复 BCS 后缺损是可靠且有效的。
