Adjacent skin rotation flap for large defect in primary breast tumor.
Adjacent skin rotation flap for large defect in primary breast tumor.
复制标题
DOI：
10.1002/jso.25240
复制
发表时间：
2018-12
影响因子：
2.5
通讯作者：
Gong Y
中科院分区：
文献类型：
--
作者：
Jin L;Wu X;Zha L;Feng Y;Xu J;Zheng H;Shao J;Zhao M;Cui X;Giuliano AE;Gong Y
手术切除较大的原发性乳腺肿瘤常导致较大的胸壁缺损。本研究旨在探讨邻近皮肤旋转皮瓣（ASR）应用于巨大原发性乳腺肿瘤的可行性。本研究共纳入26例巨大原发性乳腺肿瘤患者，采用ASR皮瓣进行治疗。观察两组患者手术时间、术中出血量、术后住院时间及临床并发症。同时，收集17例乳腺肿瘤患者的资料，并将其分配为对照组。乳房切除术后平均缺损尺寸为16.7 × 13.4 cm，中位随访期为术后13个月。15.4%的患者出现局部并发症，其中1例出现1种以上并发症。两组患者手术时间、术中出血量、术后住院时间比较差异有统计学意义（P<0.001）。ASR皮瓣是一种可靠的技术，立即重建巨大胸壁缺损的患者原发性乳腺肿瘤。
Surgical resection of large primary breast tumor often results in large chest wall defects. The purpose of this study is to evaluate the feasibility of using adjacent skin rotation (ASR) flap in patients with giant primary breast tumor. A total of 26 giant primary breast tumor patients treated with ASR flap were included in this study. The postoperative conditions, including operating time, blood loss, length of hospital stay, and clinical complications were observed. Meanwhile, the information on 17 breast tumor patients treated with transverse rectus abdominis myocutaneous (TRAM) flap were collected and assigned to a control group. The mean defect size after mastectomy was 16.7 × 13.4 cm, while the median follow-up period was 13 months after surgery. A total of 15.4% patients had developed with local complications, and one of them had more than one complication. When comparing the postoperative outcomes, statistically significant differences were found between the two groups with respect to operating time, blood loss, and length of hospital stay (P<0.001). ASR flap is a reliable technique for immediate reconstruction of massive chest wall defects in patients with giant primary breast tumor.
登录
查看更多内容
影响因子：
--
作者：
Chen S;Huang L;Chen CM;Shao ZM
通讯作者：
Shao ZM
影响因子：
--
作者：
Foster, RD;Hansen, SL;Anthony, JP
通讯作者：
Anthony, JP
影响因子：
2.2
作者：
Hammond, Dennis C.
通讯作者：
Hammond, Dennis C.
影响因子：
3.6
作者：
Munhoz, Alexandre Mendonca;Aldrighi, Claudia;Ferreira, Marcus Castro
通讯作者：
Ferreira, Marcus Castro
影响因子：
2.5
作者：
Deo, SVS;Purkayastha, J;Asthana, S
通讯作者：
Asthana, S