保留肌肉背阔肌皮瓣在肉瘤缺损重建中的功能和供区发病率结局：一项单中心队列研究

IF 3.5 2区医学 Q2 ONCOLOGY

Ejso Pub Date : 2025-03-22 DOI:10.1016/j.ejso.2025.109994

Bassel Hoteit , Anais Delgove , Diane Adam , Magali Fau , Raphael Blaquiere , Audrey Michot

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引用次数: 0

摘要

背阔肌皮瓣被广泛应用于软组织肉瘤切除术后的躯干和肢体重建。肌肉保留技术（MSLD）似乎可以减少供区发病率。本研究的主要目的是使用QuickDash评分评估LD和MSLD重建后的功能发病率。次要目的是评估术后并发症和住院时间。患者和方法这是一项前瞻性单中心研究，纳入了2018年至2024年期间接受软组织肉瘤切除术后LD或MSLD皮瓣重建的成年患者，他们在术前和术后完成了QuickDash问卷调查。结果共纳入30例患者，其中MSLD组17例，LD组13例。MSLD组（13.1）与LD组（9.7）的ΔQuickDash差异无统计学意义（p = 0.729）。MSLD组的平均住院时间（5.9天）短于LD组（9.3天）(p <；0.05)。LD组血清血肿率（46.2%）高于MSLD组（17.6%），差异无统计学意义（p = 0.2）。结论：本研究并没有显示在恶性肉瘤的肿瘤整形手术中，MSLD的供体部位的功能发病率比LD的降低。MSLD的优点是住院时间较短，可能与并发症发生率较低有关。MSLD和LD似乎有不同的适应症。

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Functional and donor-site morbidity outcomes of muscle-sparing latissimus dorsi flap in sarcoma defects reconstruction: A single-center cohort study

Introduction

The latissimus dorsi musculocutaneous flap (LD) is widely used in trunk and limb reconstruction after soft tissue sarcoma excision. The muscle-sparing technique (MSLD) appears to reduce donor site morbidity. The main objective of this study was to assess functional morbidity after reconstruction with LD and MSLD using the QuickDash score. Secondary objectives aimed to evaluate postoperative complications and hospital length of stay.

Patients and method

This was a prospective single-center study including adult patients undergoing reconstruction with LD or MSLD flaps after resection of a soft tissue sarcoma, who completed a QuickDash questionnaire preoperatively and postoperatively between 2018 and 2024.

Results

30 patients were included in the study: 17 in the MSLD group and 13 in the LD group. There was no significant difference between the ΔQuickDash in the MSLD group (13.1) and the LD group (9.7) (p = 0.729). The MSLD group had a shorter average hospitalization length (5.9 days) compared to the LD group (9.3 days) (p < 0.05). The seroma rate was higher in the LD group (46.2 %) than in the MSLD group (17.6 %) without statistically significant difference (p = 0.2).

Conclusion

This study does not show a reduction in functional morbidity of the donor site in MSLD compared to LD in oncoplastic surgery of sarcoma. MSLD presents the advantage of a shorter hospitalization duration, probably related to a lower complication rate. MSLD and LD seem to have different indications.

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来源期刊

Ejso 医学-外科

CiteScore

6.40

自引率

2.60%

发文量

1148

审稿时长

41 days

期刊介绍： JSO - European Journal of Surgical Oncology ("the Journal of Cancer Surgery") is the Official Journal of the European Society of Surgical Oncology and BASO ~ the Association for Cancer Surgery. The EJSO aims to advance surgical oncology research and practice through the publication of original research articles, review articles, editorials, debates and correspondence.