Comparison of post-operative complications after immediate breast reconstruction by muscle-sparing latissimus dorsi flap versus total latissimus dorsi flap

IF 0.8 4区医学 Q4 ONCOLOGY

Bulletin Du Cancer Pub Date : 2025-07-01 DOI:10.1016/j.bulcan.2025.02.027

Jean-Frédéric Genest , Laura Vincent , Marie-Bluette Fauconnier , Clémentine Jankowski , Pierre Burnier , Charles Coutant

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引用次数: 0

Abstract

Introduction

Breast reconstruction using the latissimus dorsi (LD) muscle is a widely used technique. Muscle-sparing LD (MSLD) has yielded reductions in post-operative complications and improved quality of life. This study aimed to compare post-operative complications between conventional LD and MSLD, in patients undergoing immediate breast reconstruction (IBR).

Methods

We retrospective retrieved data on 77 patients who underwent IBR with either the LD or MSLD techniques between 1 January 2018 and 31 December 2021 in a single cancer centre in Dijon, France. Univariate and multivariate analysis was performed to compare post-operative complications between the LD and MSLD techniques, among patients undergoing IBR.

Results

Overall, 33 had MSLD and 44 had LD IBR. In multivariate analysis, length of hospital stay was significantly shorter in MSLD group (OR = 0.99; IC 95%(0.16–0.7)]; P < 0.001). The presence of donor site's seroma was significantly lower in MSLD group (OR = 0.004; IC 95%(0.006–0.3); P = 0.013). But the total number of lipofilling was significantly higher in MSLD group (OR = 3.78; IC 95%(1.69–8.46); P < 0.001) with no difference concerning the number of post-operative lipofilling. Concerning the duration of surgery, no difference was observed between the two groups.

Conclusion

The MSLD technique can be proposed in routine practice to patients with an indication for autologous IBR but the results of this study should be confirmed by a multicentre prospective study.

查看原文本刊更多论文

保肌背阔肌瓣与全背阔肌瓣即刻乳房再造术术后并发症的比较。

简介：乳房重建使用背阔肌（LD）是一种广泛使用的技术。肌肉保留LD （MSLD）减少了术后并发症，提高了生活质量。本研究旨在比较常规LD和MSLD在接受即时乳房重建（IBR）患者的术后并发症。方法：我们回顾性检索了2018年1月1日至2021年12月31日在法国第戎的一个癌症中心接受LD或MSLD技术的77例IBR患者的数据。在接受IBR的患者中，进行单因素和多因素分析来比较LD和MSLD技术的术后并发症。结果：总体而言，33例有MSLD， 44例有LD IBR。多因素分析显示，MSLD组住院时间显著缩短(OR=0.99；IC 95% (0.16 - -0.7)];结论：MSLD技术可用于有自体IBR指征的患者的常规实践，但本研究的结果有待多中心前瞻性研究的证实。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Bulletin Du Cancer 医学-肿瘤学

CiteScore

1.90

自引率

16.70%

发文量

224

审稿时长

37 days

期刊介绍： Without doubt, the ''Bulletin du Cancer'' is the French language publication of reference in the field of cancerology. Official organ of the French Society of Cancer, this journal covers all the information available, whether in the form of original articles or review articles, but also clinical cases and letters to the editor, including various disciplines as onco-hematology, solids tumors, medical oncology, pharmacology, epidemiology, biology as well as fundamental research in cancerology. The journal proposes a clinical and therapeutic approach of high scientific standard and regular updates in knowledge are thus made possible. Articles can be submitted in French or English.