Xie Li, Kong Xiangyi, Gao Jidong
Department of Breast Surgical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, 518116, People's Republic of China.
Department of Breast Surgical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, People's Republic of China.
Cancer Manag Res. 2024 Apr 18;16:337-345. doi: 10.2147/CMAR.S429782. eCollection 2024.
In the vast expanse of restorative surgical procedures, the Deep Inferior Epigastric Perforator (DIEP) flap, originating from the inferior epigastric artery, has emerged as the preferred method of breast reconstruction, attributable to its myriad advantages. The technique provides reliable vascular supply, robust tissue volume for excision, minimal invasiveness to the donor site, with direct closure and concealment of the said site. This paper embarks on an elaborate elucidation of the DIEP surgical procedure, pivoting on the analytical exploration of a particular instance where necrosis of the skin flap occurred following immediate DIEP breast reconstruction in a patient diagnosed with early-stage breast cancer. This patient had previously undergone Nipple Areola Complex Sparing Mastectomy (NSM). We endeavor to extrapolate insights from this singular case of post-NSM DIEP breast reconstruction failure and correlate our findings with current literature dedicated to similar instances of surgical failure in DIEP breast reconstruction.
在大量的修复性外科手术中，源自腹壁下动脉的腹壁下深动脉穿支（DIEP）皮瓣已成为乳房重建的首选方法，这归因于其众多优点。该技术提供可靠的血管供应、用于切除的充足组织量、对供区的微创性，且供区可直接闭合和隐蔽。本文着手详细阐述DIEP手术过程，重点分析一名被诊断为早期乳腺癌的患者在即刻DIEP乳房重建后皮瓣坏死的特定案例。该患者此前接受了保留乳头乳晕复合体的乳房切除术（NSM）。我们力图从这例NSM后DIEP乳房重建失败的独特案例中推断出见解，并将我们的发现与当前致力于DIEP乳房重建类似手术失败案例的文献相关联。
