Study on application of extended dorsi-latissimus flap in immediate breast reconstruction after skin-sparing mastectomy
Journal of Clinical and Experimental Medicine(2013)
摘要
Objective To evaluate the value of application of extended dorsi-latissimus flap( ELDF) for immediate breast reconstruction in patients with breast cancer after modified radical mastectomy. Methods Fifty two patients with breast cancer accepted modified radical mastec-tomy and 48 patients with breast cancer accepted immediate breast reconstruction after modified radical mastectomy during January 2010 to August 2011 were included in this study. Complications,cosmetic result and quality of life in these patients were compared and evaluated. The shape of breast reconstruction was also evaluated. Results All of 48 patients succeeded in proceeding immediate breast reconstruction with ELDF. The e-valuation of shape of breast reconstruction was better than that of patients with radical operation group( P 0. 05). There was no statistical differ-ence in duration of drainage,hospitalization stay,and starting time for adjuvant therapy between these two groups( P 0. 05). Patients in breast reconstruction group had a better quality of life( P 0. 05). During follow-up period,no local recurrence and metastasis had been demonstrated in patients of these two groups. Conclusion There is good cosmetic result after immediate breast reconstruction with ELDF,and it is easy to be operated. It is a safe and feasible therapeutic procedure for treatment of patients with early breast cancer.
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关键词
Extended dorsi-latissimus flap,Modified radical mastectomy,Breast cancer,Immediate breast reconstruction
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