The application of silicone prosthesis in the immediate breast reconstruction_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 FENG Yueqing , ZHOU Yong , ZHANG Zhimin

Department of Head, Neck, and Breast Surgery, Central Hospital of Xinxiang, Xinxiang, Henan 453000, P. R. China;

Corresponding?author：

FENG Yueqing, Email: 15637359823@163.com

Keywords：

breast tumor; silicon prosthesis; immediate breast reconstruction

DOI：

10.7507/1007-9424.201805097

Video：

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Objective To evaluate the feasibility of immediate breast reconstruction with silicone prosthesis for breast tumor. Methods The clinical data of the 42 patients with breast tumor who had undergone breast reconstruction with silicone prosthesis from January 2012 to June 2017 were collected retrospectively. The postoperative complications and cosmetic results were analyzed. Results All patients underwent operation successfully. The surgical time was 230–435 min (mean of 325 min), the intraoperative blood loss was 100–160 mL (mean of 130 mL), and the hospitalization time was 18–33 d (mean of 24 d). The cosmetic results was excellent in 26 patients, good in 8 patients, bad in 8 patients, and fine rate was 81.0% (34/42). Rate of patients’ overall satisfaction with breast reconstruction was 73.8% (31/42) and rate of aesthetic satisfaction was 78.6% (33/42). After operation, seroma occurred in 2 patients, and the ischemic necrosis in nipple and areola occurred in 3 patients. All the patients were followed-up for 4–70 months, and the median follow-up time was 37 months. During the follow-up period, no patient had metastasis or recurrence. Six patients received radiotherapy, among them 2 patients appeared Ⅱ-grade capsular contracture. Conclusion The breast reconstruction with silicone prosthesis is a simple, easy, and effective surgical procedure.

Citation： FENG Yueqing, ZHOU Yong, ZHANG Zhimin. The application of silicone prosthesis in the immediate breast reconstruction. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2018, 25(10): 1206-1212. doi: 10.7507/1007-9424.201805097 Copy

1.	邵志敏, 余科達. 乳腺外科的發展趨勢. 中國普外基礎與臨床雜志, 2007, 14(3): 252-254.
2.	江澤飛, 李健斌. 精準醫學時代乳腺外科十個熱點問題思考. 中華普外科手術學雜志: 電子版, 2016, 10(3): 192-196.
3.	Albornoz CR, Bach PB, Mehrara BJ, et al. A paradigm shift in U.S. breast reconstruction: increasing implant rates. Plast Reconstr Surg, 2013, 131(1): 15-23.
4.	Jagsi R, Jiang J, Momoh AO, et al. Trends and variation in use of breast reconstruction in patients with breast cancer undergoing mastectomy in the United States. J Clin Oncol, 2014, 32(9): 919-926.
5.	Hernandez-Boussard T, Zeidler K, Barzin A, et al. Breast reconstruction national trends and healthcare implications. Breast J, 2013, 19(5): 463-469.
6.	共識專家討論組. 保留乳頭乳暈復合體乳房切除術的專家共識與爭議 (2015年版). 中國癌癥雜志, 2016, 26(5): 476-479.
7.	Munhoz AM, Montag E, Filassi JR, et al. Immediate nipple-areola-sparing mastectomy reconstruction: an update on oncological and reconstruction techniques. World J Clin Oncol, 2014, 5(3): 478-494.
8.	Wei FC, Mardini S, Allen RJ, 等著; 孫家明, 王巍, 熊凌云, 等譯. 皮瓣與重建外科. 北京: 人民衛生出版, 2011: 158-160.
9.	高德宗, 張強, 李亮, 等. Ⅰ期假體植入乳房再造在保留乳頭乳腺癌改良根治術中的臨床應用. 山東大學學報: 醫學版, 2010, 48(4): 106-108, 112.
10.	劉靜, 張學慧, 孫敬巖, 等. 腹壁下穿支皮瓣乳房重建的滿意度及并發癥. 中華醫學美學美容雜志, 2016, 22(3): 160-164.
11.	吳炅. 腫瘤整形技術在乳腺癌治療中的應用. 臨床外科雜志, 2016, 24(9): 660-662.
12.	中國抗癌協會乳腺癌專業委員會. 中國抗癌協會乳腺癌診治指南與規范 (2015 版). 中國癌癥雜志, 2015, 25(9): 692-754.
13.	中華醫學會整形外科學分會乳腺專業學組. 乳腺癌切除術后乳房再造臨床指南. 中華腫瘤雜志, 2014, 36(11): 851-857.
14.	Quinn TT, Miller GS, Rostek M, et al. Prosthetic breast reconstruction: indications and update. Gland Surg, 2016, 5(2): 174-186.
15.	何英, 鄧宏武, 萬能斌, 等. 現代醫學模式影響下的乳腺癌手術方式遞嬗. 醫學與哲學, 2017, 38(8): 27-30.
16.	陳穎, 陳嘉健, 陳嘉瑩, 等. 中國乳腺癌術后乳房重建現況調查報告. 中華腫瘤雜志, 2014, 36(11): 851-857.
17.	Momoh AO, Ahmed R, Kelley BP, et al. A systematic review of complications of implant-based breast reconstruction with prereconstruction and postreconstruction radiotherapy. Ann Surg Oncol, 2014, 21(1): 118-124.
18.	Kronowitz SJ. Current status of implant-based breast reconstruction in patients receiving postmastectomy radiation therapy. Plast Reconstr Surg, 2012, 130(4): 513e-523e.
19.	Dalberg K, Krawiec K, Sandelin K. Eleven-year follow-up of a randomized study of pectoral fascia preservation after mastectomy for early breast cancer. World J Surg, 2010, 34(11): 2539-2544.
20.	Dalberg K, Johansson H, Signomklao T, et al. A randomised study of axillary drainage and pectoral fascia preservation after mastectomy for breast cancer. Eur J Surg Oncol, 2004, 30(6): 602-609.
21.	Sandelin K, Wickman M, Billgren AM. Oncological outcome after immediate breast reconstruction for invasive breast cancer: a long-term study. Breast, 2004, 13(3): 210-218.
22.	Fitoussi A, Berry MG, Couturad B, 等著; 張斌, 曹旭晨, 常新忠, 等譯. 乳腺腫瘤整形與重建手術圖譜. 北京: 人民衛生出版社, 2011: 41-42.
23.	Grotting JC, Allen RJ, Andrews A, 等著; 范巨峰, 江華, 李洪生, 等譯. 麥卡錫整形外科學 (第五分卷): 乳房. 第3版. 北京: 人民衛生出版社, 2015: 303-306.
24.	Spiegel AJ. Breast reconstruction-current perspectives and state of the art techniques. Rijeka: InTech, 2013: 40-41.
25.	Ahn S, Kim I, Kim J, 等著; 金光逸, 張晨, 王潔晴, 等譯. 現代韓國乳房整形術. 沈陽: 遼寧科學技術出版社, 2016: 126-129.
26.	路選, 陳飛, 高小康. 雙平面假體置入在乳腺癌術后Ⅰ期再造中的應用. 中國美容整形外科雜志, 2014, 25(8): 478-479.
27.	Saint-Cyr M, Nagarkar P, Wong C, et al. The pedicled subpectoral fascia flap for expander coverage in postmastectomy breast reconstruction: a novel technique. Plast Reconstr Surg, 2010, 125(5): 1328-1334.
28.	Jinde L, Jianliang S, Xiaoping C, et al. Anatomy and clinical significance of pectoral fascia. Plast Reconstr Surg, 2006, 118(7): 1557-1560.
29.	Stecco A, Masiero S, Macchi V, et al. The pectoral fascia: anatomical and histological study. J Bodyw Mov Ther, 2009, 13(3): 255-261.

1. 邵志敏, 余科達. 乳腺外科的發展趨勢. 中國普外基礎與臨床雜志, 2007, 14(3): 252-254.
2. 江澤飛, 李健斌. 精準醫學時代乳腺外科十個熱點問題思考. 中華普外科手術學雜志: 電子版, 2016, 10(3): 192-196.
3. Albornoz CR, Bach PB, Mehrara BJ, et al. A paradigm shift in U.S. breast reconstruction: increasing implant rates. Plast Reconstr Surg, 2013, 131(1): 15-23.
4. Jagsi R, Jiang J, Momoh AO, et al. Trends and variation in use of breast reconstruction in patients with breast cancer undergoing mastectomy in the United States. J Clin Oncol, 2014, 32(9): 919-926.
5. Hernandez-Boussard T, Zeidler K, Barzin A, et al. Breast reconstruction national trends and healthcare implications. Breast J, 2013, 19(5): 463-469.
6. 共識專家討論組. 保留乳頭乳暈復合體乳房切除術的專家共識與爭議 (2015年版). 中國癌癥雜志, 2016, 26(5): 476-479.
7. Munhoz AM, Montag E, Filassi JR, et al. Immediate nipple-areola-sparing mastectomy reconstruction: an update on oncological and reconstruction techniques. World J Clin Oncol, 2014, 5(3): 478-494.
8. Wei FC, Mardini S, Allen RJ, 等著; 孫家明, 王巍, 熊凌云, 等譯. 皮瓣與重建外科. 北京: 人民衛生出版, 2011: 158-160.
9. 高德宗, 張強, 李亮, 等. Ⅰ期假體植入乳房再造在保留乳頭乳腺癌改良根治術中的臨床應用. 山東大學學報: 醫學版, 2010, 48(4): 106-108, 112.
10. 劉靜, 張學慧, 孫敬巖, 等. 腹壁下穿支皮瓣乳房重建的滿意度及并發癥. 中華醫學美學美容雜志, 2016, 22(3): 160-164.
11. 吳炅. 腫瘤整形技術在乳腺癌治療中的應用. 臨床外科雜志, 2016, 24(9): 660-662.
12. 中國抗癌協會乳腺癌專業委員會. 中國抗癌協會乳腺癌診治指南與規范 (2015 版). 中國癌癥雜志, 2015, 25(9): 692-754.
13. 中華醫學會整形外科學分會乳腺專業學組. 乳腺癌切除術后乳房再造臨床指南. 中華腫瘤雜志, 2014, 36(11): 851-857.
14. Quinn TT, Miller GS, Rostek M, et al. Prosthetic breast reconstruction: indications and update. Gland Surg, 2016, 5(2): 174-186.
15. 何英, 鄧宏武, 萬能斌, 等. 現代醫學模式影響下的乳腺癌手術方式遞嬗. 醫學與哲學, 2017, 38(8): 27-30.
16. 陳穎, 陳嘉健, 陳嘉瑩, 等. 中國乳腺癌術后乳房重建現況調查報告. 中華腫瘤雜志, 2014, 36(11): 851-857.
17. Momoh AO, Ahmed R, Kelley BP, et al. A systematic review of complications of implant-based breast reconstruction with prereconstruction and postreconstruction radiotherapy. Ann Surg Oncol, 2014, 21(1): 118-124.
18. Kronowitz SJ. Current status of implant-based breast reconstruction in patients receiving postmastectomy radiation therapy. Plast Reconstr Surg, 2012, 130(4): 513e-523e.
19. Dalberg K, Krawiec K, Sandelin K. Eleven-year follow-up of a randomized study of pectoral fascia preservation after mastectomy for early breast cancer. World J Surg, 2010, 34(11): 2539-2544.
20. Dalberg K, Johansson H, Signomklao T, et al. A randomised study of axillary drainage and pectoral fascia preservation after mastectomy for breast cancer. Eur J Surg Oncol, 2004, 30(6): 602-609.
21. Sandelin K, Wickman M, Billgren AM. Oncological outcome after immediate breast reconstruction for invasive breast cancer: a long-term study. Breast, 2004, 13(3): 210-218.
22. Fitoussi A, Berry MG, Couturad B, 等著; 張斌, 曹旭晨, 常新忠, 等譯. 乳腺腫瘤整形與重建手術圖譜. 北京: 人民衛生出版社, 2011: 41-42.
23. Grotting JC, Allen RJ, Andrews A, 等著; 范巨峰, 江華, 李洪生, 等譯. 麥卡錫整形外科學 (第五分卷): 乳房. 第3版. 北京: 人民衛生出版社, 2015: 303-306.
24. Spiegel AJ. Breast reconstruction-current perspectives and state of the art techniques. Rijeka: InTech, 2013: 40-41.
25. Ahn S, Kim I, Kim J, 等著; 金光逸, 張晨, 王潔晴, 等譯. 現代韓國乳房整形術. 沈陽: 遼寧科學技術出版社, 2016: 126-129.
26. 路選, 陳飛, 高小康. 雙平面假體置入在乳腺癌術后Ⅰ期再造中的應用. 中國美容整形外科雜志, 2014, 25(8): 478-479.
27. Saint-Cyr M, Nagarkar P, Wong C, et al. The pedicled subpectoral fascia flap for expander coverage in postmastectomy breast reconstruction: a novel technique. Plast Reconstr Surg, 2010, 125(5): 1328-1334.
28. Jinde L, Jianliang S, Xiaoping C, et al. Anatomy and clinical significance of pectoral fascia. Plast Reconstr Surg, 2006, 118(7): 1557-1560.
29. Stecco A, Masiero S, Macchi V, et al. The pectoral fascia: anatomical and histological study. J Bodyw Mov Ther, 2009, 13(3): 255-261.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

The application of silicone prosthesis in the immediate breast reconstruction

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