Single vertical incision thoracoabdominal flap for chest wall reconstruction following mastectomy of locally advanced breast cancer

Kyunghyun Min; Eun Jeong Choi; Yeon Hoon Lee; Jin Sup Eom; Byung Ho Son; Sei Hyun Ahn; Eun Key Kim

추천

검색

질문

자료유형: 학술저널

저자정보: Kyunghyun Min (University of Ulsan) Eun Jeong Choi (University of Ulsan) Yeon Hoon Lee (University of Ulsan) Jin Sup Eom (University of Ulsan) Byung Ho Son (University of Ulsan) Sei Hyun Ahn (University of Ulsan) Eun Key Kim (University of Ulsan)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.97 No.4

발행연도: 2019.10

수록면: 168 - 175 (8page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Purpose: Skin grafts have been widely used in managing extensive chest wall defects after mastectomy for advanced breast cancer. However, their durability and tolerability to radiotherapy is still controversial. A thoracoabdominal (TA) flap with a few technical refinements can safely transfer a larger flap while minimizing complications.
Methods: From January 2007 to February 2018, a retrospective review was performed to compare 2 groups after wide breast excision: skin graft group (group 1) and lateral-based, single vertical incision rotation-advancement TA flap (group 2). Patients’ demographics, operative details, complications, hospital stay, postoperative outpatient visits, cost, and start of adjuvant therapy were analyzed between the 2 groups.
Results: During the study period, 34 patients received skin graft and 41 patients received TA flap. group 2 had a shorter hospital stay (6.41 ± 2.64 days vs. 12.62 ± 4.60 days, P < 0.001) and shorter time to complete wound healing (29.27 ± 18.68 days vs. 39.24 ± 27.70 days, P = 0.03) than group 1. There was also a difference in the period from surgery to initiation of adjuvant therapy (group 1, 45.04 days ± 17.79 days; group 2, 37.07 ± 15.38 days, P = 0.073). Although limitation in shoulder motion was more frequent in group 2, limitation of motion for >1 year was observed in 4 patients in only group 1 (43.90% vs. 38.24%, P = 0.613).
Conclusion: TA flap has a simple design that minimizes concerns involving the donor site. Moreover, it does not require complicated procedures and allows for re-elevation whenever necessary. Finally, it guarantees faster wound recovery than skin graft with fewer complications.

#Breast neoplasms #Chest wall #Inflammatory breast neoplasms #Reconstructive surgical procedure #Surgical flaps

참고문헌 (9)

참고문헌 신청

Woo E / 2006 / Use of the extended V-Y latissimus dorsi myocutaneous flap for chest wall reconstruction in locally advanced breast cancer / Ann Thorac Surg 82:752~755

Charanek AM / 2014 / A bilobed thoracoabdominal myocutaneous flap for large thoracic defects / Ann Plast Surg 72:451~456

Davis WM / 1977 / Use of a direct, transverse, thoracoabdominal flap to close difficult wounds of the thorax and upper extremity / Plast Reconstr Surg 60:526~533

Baroudi R / 1978 / A transverse thoracoabdominal skin flap for closure after radical mastectomy / Plast Reconstr Surg 61:547~554

박주석 / 2015 / Using Local Flaps in a Chest Wall Reconstruction after Mastectomy for Locally Advanced Breast Cancer / Archives of Plastic Surgery 42(3):288~294

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!