Santi P, Berrino P, Galli A, Quondamcarlo C
Tumori. 1984 Oct 31;70(5):451-4. doi: 10.1177/030089168407000511.
Reducing postoperative psychological morbidity is an important goal in breast cancer patient care; a multidisciplinary approach is crucial in order to select candidates for immediate breast reconstruction. There is no oncologic reason for a delay after a modified radical mastectomy. Our procedure allows immediate breast reconstruction without significantly prolonging operative time and hospitalization. Complete muscular coverage of the implant and shifting of the redundant skin to the mastectomy site minimize the risk of postoperative complications and provide a natural looking reconstructed breast. Delayed reconstruction of the nipple-areolar complex performed at the time of contralateral mammaplasty ensures satisfactory breast symmetry. Satisfactory reconstruction of the nipple-areolar complex is achieved without additional scars by means of grafts taken from the opposite breast or utilizing the cryopreserved nipple and areola.
降低术后心理发病率是乳腺癌患者护理的一个重要目标；多学科方法对于选择即刻乳房重建的候选者至关重要。改良根治性乳房切除术后不存在肿瘤学上延迟的理由。我们的手术方法允许即刻乳房重建，而不会显著延长手术时间和住院时间。植入物的完全肌肉覆盖以及将多余皮肤转移至乳房切除部位可将术后并发症风险降至最低，并提供外观自然的重建乳房。在对侧乳房整形术时进行乳头乳晕复合体的延迟重建可确保令人满意的乳房对称性。通过取自对侧乳房的移植物或利用冷冻保存的乳头和乳晕，无需额外瘢痕即可实现乳头乳晕复合体的满意重建。
