The application of unilateral endoscopic breast reconstruction/breast augmentation with prosthesis combined with contralateral endoscopic/open breast reconstruction of the latissimus dorsi muscle±prosthesis
DAI Hui
ZHU Zhongjian
LIANG Faqing
XIE Yanyan
ZHONG Jiayuan
ZHANG Qing
LI Tianyuan
DU Zhenggui
Abstract：Objective To assess the clinical efficacy of unilateral endoscopic breast reconstruction/breast augmentation with prosthesis combined with contralateral endoscopic/open breast reconstruction of the latissimus dorsi muscle±prosthesis in breast cancer patients.Methods The clinical data of 32 breasts in 16 breast cancer patients undergoing unilateral endoscopic breast reconstruction/breast augmentation with prosthesis combined with contralateral endoscopic/open breast reconstruction of the latissimus dorsi muscle±prosthesis from January 2021 to May 2024 in West China Hospital of Sichuan University were prospectively analyzed to assess the clinical efficacy of this surgical method.Results The median follow-up time was 10.50 months,and the incidence of surgery-related complications was 18.75％(6/32),and the incidence of cosmetic surgery-related complications was 15.63％(5/32).Harris scale scoring was performed on the patients,and 81.25％(13/16)of the patients obtained excellent Harris scale scores and good Harris scale scores.Ueda scoring was performed on the patients,and 87.50％(14/16)of the patients obtained excellent Ueda scores and good Ueda scores.The SCAR-Q appearance scale scores of the patients were(56.56±20.77)points.Distant metastasis occurred in 1 patient after surgery,and local and regional recurrence occurred in 1 patient,and no deaths occurred.Conclusion The surgical method of unilateral endoscopic breast reconstruction/breast augmentation with prosthesis combined with contralateral endoscopic/open breast reconstruction of the latissimus dorsi muscle±prosthesis has the advantages of favorable breast aesthetics and short operation time,which is worthy of clinical popularization and application.
Keywords：Breast reconstructionLatissimus dorsi flapEndoscopic surgeryBreast cancerContralateral prophylactic mastectomy
Publication Date：2024-10-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 1081-1087 )