乳腺癌患者乳头重建术的有效性和安全性评估:一项试点研究

IF 1.2 4区 医学 Q3 SURGERY
Shuanglong Chen, Qingmo Yang, Shaoluan Zheng, Chenxi Chen, Lujuan Gao, Jiaqi Liu
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引用次数: 0

摘要

目的 我们提出了一种带蒂穿孔皮瓣技术,用于乳腺癌患者初次乳头重建失败后的挽救性乳头重建。共纳入 21 例初次乳头再造失败后接受乳头再造的女性乳腺癌患者,并于 2016 年至 2020 年期间进行了基于带蒂穿孔器皮瓣的挽救性乳头再造术。对手术时间、穿孔器设计、术后并发症、随访时间、乳头投影以及通过 BREAST-Q 和视觉模拟量表(VAS)测量的患者报告结果进行了评估。结果 16 名患者接受了第五肋间外侧动脉穿孔器重建术,5 名患者接受了第五肋间前动脉穿孔器瓣重建术。手术成功,无术中并发症,平均手术时间为 67 分钟。术后无并发症。平均随访时间为 18 个月。术后6个月时,乳头的平均凸度为8毫米(范围为6-10毫米),缩小了20%。重建手术后 6 个月,BREAST-Q 心理社会幸福感、对乳房的满意度和对乳头的满意度的平均得分显著增加(P < .01)。性健康子域无统计学差异(P = .9369)。患者对手术的外观和满意度的 VAS 评分分别为 9 分和 9.3 分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of the Efficacy and Safety of Pedicled Perforator Flap Technique for Salvage Nipple Reconstruction in Breast Cancer Patients: A Pilot Study
ObjectiveWe propose a pedicled perforator flap technique for salvage nipple reconstruction after initial nipple reconstruction fails in breast cancer patients.MethodsThis is a pilot study. A total of 21 female breast cancer patients who underwent nipple reconstruction following initial nipple reconstruction fails were enrolled, and salvage nipple reconstruction based pedicled perforator flap were performed between 2016 and 2020. Operative time, perforator design, postoperative complications, follow-up duration, projection of nipple, as well as patient-reported outcomes measured by the BREAST-Q and visual analogue scale (VAS) were assessed.ResultsSixteen patients underwent fifth lateral intercostal artery perforator reconstruction, while 5 patients underwent fifth anterior intercostal artery perforator flap reconstruction. The surgeries were successful without intraoperative complications, with a mean operative time of 67 minutes. Postoperative complications were absent. The mean follow-up duration was 18 months. The mean nipple projection was 8 mm (range, 6-10 mm) with a shrinkage of 20% at 6 months after surgery. The average scores for psychosocial well-being, satisfaction with breasts, and satisfaction with nipples domains of the BREAST-Q significantly increased ( P < .01) at 6 months post-reconstruction. Sexual well-being subdomain showed no statistical difference ( P = .9369). The VAS scores for cosmesis and patient satisfaction with surgery were 9 and 9.3, respectively.ConclusionThe pedicled perforator flap technique for salvage nipple reconstruction is a safe and effective approach.
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来源期刊
Surgical Innovation
Surgical Innovation 医学-外科
CiteScore
2.90
自引率
0.00%
发文量
72
审稿时长
6-12 weeks
期刊介绍: Surgical Innovation (SRI) is a peer-reviewed bi-monthly journal focusing on minimally invasive surgical techniques, new instruments such as laparoscopes and endoscopes, and new technologies. SRI prepares surgeons to think and work in "the operating room of the future" through learning new techniques, understanding and adapting to new technologies, maintaining surgical competencies, and applying surgical outcomes data to their practices. This journal is a member of the Committee on Publication Ethics (COPE).
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