Budd D C, Cochran R C, Sturtz D L, Fouty W J
Am J Surg. 1978 Feb;135(2):218-20. doi: 10.1016/0002-9610(78)90103-4.
The records of 146 consecutive patients with mastectomy operations over a three year period were reviewed. Of these, ninety-three (63.6 per cent) had one or more complications secondary to surgery. There were 175 complications, of which complications, of which 107 (73.2 per cent) were wound-related. Seroma formation occurred most frequently but was of minor consequence. The incidence of flap necrosis was 19.1 per cent, with cellulitis or suppurative infection appearing in thirteen patients. Immediate postoperative edema of the arm was fairly rare (2.7 per cent) and appeared related to delayed wound healing. Postoperative complications after total, modified radical, and radical mastectomy present problems unique from those seen after other major surgery, in that local complications predominate. The very nature of the procedure, with the creation of large thin skin flaps, extensive axillary dissection, and an open wound for a prolonged period of time, predisposes to wound morbidity.
回顾了连续三年接受乳房切除术的146例患者的记录。其中，93例（63.6%）出现了一种或多种手术继发并发症。共有175例并发症，其中107例（73.2%）与伤口相关。血清肿形成最为常见，但后果较轻。皮瓣坏死的发生率为19.1%，13例患者出现蜂窝织炎或化脓性感染。术后立即出现的手臂水肿相当罕见（2.7%），且似乎与伤口愈合延迟有关。全乳房切除术、改良根治性乳房切除术和根治性乳房切除术后的并发症与其他大型手术后出现的并发症有所不同，因为局部并发症占主导。手术本身的性质，即形成大的薄皮瓣、广泛的腋窝清扫以及长时间的开放伤口，易导致伤口发病。
