Lynch J B, Madden J J, Franklin J D
Ann Surg. 1978 May;187(5):490-501. doi: 10.1097/00000658-197805000-00006.
Breast reconstruction following mastectomy for cancer is a feasible procedure. The selection of the proper type of mastectomy should be the decision of the cancer surgeon. However, with the advent of modified mastectomies, the use of fewer primary skin grafts, and the preservation of all or part of the pectoralis major muscle, breast reconstruction has become more satisfactory. Since many women adjust poorly to mastectomy, the chance for reconstruction offers hope for a fuller life. Reconstruction of the postmastectomy cancer patient can be accomplished in three basic steps: 1) An adequate breast mound can be constructed with a prosthesis. A flap may be used if the skin cover is inadequate. 2) The size and shape of the remaining breast can be adjusted to obtain symmetry. 3) The nipple-areola complex can be reconstructed if the patient desires. Correction of the infraclavicular and axillary defects may be required. The techniques employed in 14 patients are presented.
因癌症行乳房切除术后进行乳房重建是一种可行的手术。合适的乳房切除类型应由癌症外科医生决定。然而，随着改良乳房切除术的出现、原发性皮肤移植的减少以及胸大肌全部或部分的保留，乳房重建变得更加令人满意。由于许多女性对乳房切除术适应不良，重建的机会为更充实的生活带来了希望。乳房切除术后癌症患者的重建可通过三个基本步骤完成：1）可使用假体构建足够的乳房隆起。如果皮肤覆盖不足，可使用皮瓣。2）可调整剩余乳房的大小和形状以获得对称。3）如果患者有需求，可重建乳头乳晕复合体。可能需要矫正锁骨下和腋窝缺损。本文介绍了14例患者所采用的技术。
