The value of latissimus dorsi flap with implant reconstruction for total mastectomy after conservative breast cancer surgery recurrence

被引：17
作者：
Garusi, Cristina [2 ]
Lohsiriwat, Visnu [1 ,2 ]
Brenelli, Fabricio [2 ]
Galimberti, Viviana Enrica [3 ]
De Lorenzi, Francesca [2 ]
Rietjens, Mario [2 ]
Rossetto, Fabio [2 ]
Petit, Jean Yves [2 ]
机构：
[1] Mahidol Univ, Dept Surg, Siriraj Hosp, Bangkok 10700, Thailand
[2] European Inst Oncol, Div Plast Surg, I-20141 Milan, Italy
[3] European Inst Oncol, Mol Senol Unit, I-20141 Milan, Italy
来源：
BREAST | 2011年 / 20卷 / 02期
关键词：
Latissimus dorsi flap; Implant; Breast reconstruction; Breast cancer; Radiation; 20-YEAR FOLLOW-UP; RADIATION-THERAPY; CAPSULAR CONTRACTURE; LONG-TERM; COMPLICATIONS; EXPERIENCE;
D O I：
10.1016/j.breast.2010.10.007
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Total mastectomy is usually indicated after breast conservative treatment cancer recurrence. Breast reconstruction in this group can be performed with many options. We did 63 latissimus dorsi flap with implants reconstructions between 2001-2007. All of them were performed in breast cancer recurrence cases after breast conservative treatment and preceded for total mastectomy. The patient age range from 31 to 71 years old (50.1 +/- 7.3 years). The follow-up was 36.5 +/- 14.9 months (22-141 months). Neither flap loss nor significant major donor-site complication was recorded. The capsular contraction Baker's grade III was observed in 2 cases (3.1%). The rest were grade I-II and there was no grade IV contracture. We purpose that LD flap with implant can be performed in irradiated breast with low capsular contracture rate. It is suitable in total mastectomy reconstruction after conservative breast cancer surgery recurrence. (C) 2010 Elsevier Ltd. All rights reserved.
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收藏
页码：141 / 144
页数：4
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