Le Bouëdec G, Vergote T, Kauffmann P, Feillel V, Suzanne F, Dauplat J
Centre Jean Perrin, Service de Chirurgie générale, Clermont-Ferrand.
J Chir (Paris). 1994 Mar;131(3):138-43.
The authors report their experience with immediate breast reconstruction following salvage mastectomy for local recurrence of invasive breast cancer after conservative treatment. From January 1987 to December 1992, among 91 immediate breast reconstructions, 41 were performed for this indication. The results and complications were analyzed for each of the three techniques used: simple prosthesis (n = 5), latissimus dorsi flap with prosthesis (n = 26), trans abdominalis musculocutaneous flap--TRAM flap (n = 10). Immediate flap reconstruction appears to be required in cases of either early or late local relapse since the skin has been irradiated and the mastectomy must be extensive. The transrectus abdominalis flap allows more extensive resection and gives better cosmetic results without the need for a prosthesis.
作者报告了他们对保乳治疗后局部复发的浸润性乳腺癌进行挽救性乳房切除术后即刻乳房重建的经验。1987年1月至1992年12月，在91例即刻乳房重建中，有41例是因这一适应症而进行的。对所采用的三种技术中的每一种的结果和并发症进行了分析：单纯假体植入（n = 5）、带假体的背阔肌肌皮瓣（n = 26）、经腹直肌肌皮瓣——横行腹直肌肌皮瓣（TRAM瓣，n = 10）。由于皮肤已接受过放疗且乳房切除术范围必须广泛，所以无论是早期还是晚期局部复发的病例似乎都需要即刻皮瓣重建。腹直肌皮瓣允许进行更广泛的切除，并且无需假体就能获得更好的美容效果。
