保乳手术后改良肋间外侧动脉穿支皮瓣的可行性及早期美容效果
Feasibility and early cosmetic outcome of modified lateral intercostal artery perforator flap after breast conservative surgery.
作者信息
Korayem Islam M, Ramadan Rabie, Fayed Haytham
机构信息
Department of Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Department of Surgery, Medical Research Institute, Alexandria University, Alexandria, Egypt.
出版信息
BMC Surg. 2024 Mar 2;24(1):75. doi: 10.1186/s12893-024-02367-6.
BACKGROUND
The lateral intercostal artery perforator (LICAP) flap aims at replacing the excised breast lump with axillary tissue rich blood supply. The purpose of this study is to report the initial results of a modification LICAP flap technique in terms of intraoperative technical feasibility and short-term cosmetic outcomes in the early postoperative period.
METHODS
Modified LICAP flap technique was performed on 36 female patients with pathologically proven BC located in the outer half of the breast in the period from June 1, 2021, to April 30, 2022.
RESULTS
The LICAP flap modification enabled performing the procedure with the patient in supine position without repositioning. The majority of the patients (90%) had satisfactory early cosmetic results as reported by the patients and oncoplastic independent surgeon.
CONCLUSION
Modified LICAP flap reconstruction is feasible to be performed with the patient in supine position without repositioning and it has satisfactory early cosmetic outcomes.
背景
肋间外侧动脉穿支（LICAP）皮瓣旨在用腋窝组织丰富血供来替代切除的乳腺肿块。本研究的目的是报告改良LICAP皮瓣技术在术中技术可行性和术后早期短期美容效果方面的初步结果。
方法
2021年6月1日至2022年4月30日期间，对36例经病理证实为乳腺外侧象限乳腺癌的女性患者实施改良LICAP皮瓣技术。
结果
LICAP皮瓣改良术使手术能在患者仰卧位下进行，无需重新定位。据患者和肿瘤整形独立外科医生报告，大多数患者（90%）早期美容效果满意。
结论
改良LICAP皮瓣重建术在患者仰卧位下无需重新定位即可实施，且早期美容效果满意。
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