中国现代手术学杂志2017，Vol.21Issue(5)：350-353,4.DOI:10.16260/j.cnki.1009-2188.2017.05.007
乳腺癌胸壁复发聚丙烯单丝纤维补片联合背阔肌皮瓣胸壁重建
Reconstruction of Chest Wall with Monofilaments Meshes and Using the Latissimus Dorsi Flap in Deal-
ing with Postoperative Recurrence of Breast Cancer:7 Cases Report
刘宝胤 1骆成玉 1陈忠存 2陈溯3
作者信息
- 1. 首都医科大学附属复兴医院普外科,北京100038
- 2. 首都医科大学附属复兴医院整形外科,北京100038
- 3. 首都医科大学附属复兴医院胸外科,北京100038
- 折叠
摘要
Abstract
Objective To investigate the clinical feasibility of chest wall reconstruction with monofil-aments meshes and the latissimus dorsi flap graft in dealing with breast cancer recurrence after tumor resec-tion. Methods A retrospective analysis was made on the clinical data from 7 cases of breast cancer re-currence treated by tumor resection and chest well reconstruction between February 2010 and January 2016. There were 7 females with an average age of 46. 6 years (range,38 to 62 years);The median dis-ease duration was 14. 3 months (range,8 to 26 months). The skin defect area of chest wall was 14 cm × 11 cm to 18 cm × 13 cm after tumor resection. The monofilament meshes and the latissimus dorsi flap were designed to repair the defect wounds. The flap of latissimus dorsi based on the thoracodorsal artery with a size of 14 cm × 6. 5 cm to 18 cm × 6 cm. All the donor site was sutured directly. Results All 7 cases were successful in the surgery with grafting flap survival. Among them,2 cases appeared delayed healing because of distal necrosis in one flap and seroma of donor site in one flap. All cases were followed up for 12 months to 33 months. No local recurrence and death occurred,but distant metastasis in 1 case. The appear-ance of flap was satisfied and joint motion was well. Conclusion The application of monofilaments meshes and latissimus dorsi flap has important clinical value to repair the chest wall defect after tumor resection in breast cancer recurrence.关键词
胸壁缺损/胸壁重建/乳腺肿瘤/肿瘤复发,局部/再手术Key words
chest wall defect/chest wall reconstruction/breast neoplasms/neoplasm recurrence,local/reoperation分类
医药卫生引用本文复制引用
刘宝胤,骆成玉,陈忠存,陈溯..乳腺癌胸壁复发聚丙烯单丝纤维补片联合背阔肌皮瓣胸壁重建[J].中国现代手术学杂志,2017,21(5):350-353,4.
