Immediate breast reconstruction with pedicled greater omentum and gel prosthesis following nipple and areola complex sparing mastectomy: a report of 23 cases

doi:10.3877/cma.j.issn.1674-0793.2016.06.012

Abstract

Abstract:

Objective

To discuss the feasibility and effect of immediate breast reconstruction with pedicled greater omentum and gel prosthesis following nipple and areola complex sparing mastectomy.

Methods

From August 2013 to September 2015, after mastectomy with conservation of nipple and areola, twenty-three patients with stage 0, Ⅰ, Ⅱ breast cancer accepted immediate breast reconstruction with pedicled greater omentum and gel prosthesis.

Results

All the pedicled greater omentum was successfully inserted, and no prosthesis migration and rupture occurred 3 to 25 months after operations. The reconstructed breast was good in shape and with soft feeling. Nipple ischemia occurred in two patients with ductal carcinoma in situ, while skin necrosis was not found within 3 months. There was no recurrence of breast cancer during follow-up period.

Conclusion

Immediate breast reconstruction with pedicled greater omentum and gel prosthesis after mastectomy with conservation of nipple and areola is an effective and safe procedure.

Key words: Breast neoplasms, Mastectomy, Bioprosthesis, Reconstructive surgical procedures

Lingli Lu, Nengbin Wan, Zhengyu Zhou, Hongwu Deng, Ying He, Yi Zhang, Guopeng Li, Xiao He. Immediate breast reconstruction with pedicled greater omentum and gel prosthesis following nipple and areola complex sparing mastectomy: a report of 23 cases[J]. Chinese Archives of General Surgery(Electronic Edition), 2016, 10(06): 431-434.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhptwkxwx.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-0793.2016.06.012

https://zhptwkxwx.cma-cmc.com.cn/EN/Y2016/V10/I06/431

Figures/Tables 2

References 13

1	穆兰花,辛敏强,栾杰.乳腺癌术后乳房重建的研究现状及其评价[J/CD].中华乳腺病杂志:电子版, 2011, 5(2): 215-221.
2	Roostaeian J,Crisera C. Current options in breast reconstruction with or without radiotherapy[J]. Curr Opin Obstet Gynecol, 2011, 23(1): 44-50.
3	Cense HA,Rutgers EJ,LoPes Cardozo M, et al. Nipple-sparing mastectomy in breast cancer: a viable option?[J]. Eur J Surg On-col, 2001, 27(6): 521-526.
4	韩明玥,于伟杰,邱晓冬,等.腹部横行小切口游离带蒂大网膜在一期乳房成形中的应用[J/CD].中华乳腺病杂志:电子版, 2012, 6(6): 649-656.
5	Cheung KL,Blamey RW,Robertson JF, et al. Subcutaneous mas-tectomy for primary breast cancer and ductal carcinoma in situ[J]. Euro J Surg Oncol, 1997, 23(4): 343-347.
6	Medina-Franco MD,Vasconez LO,Fix RJ, et al. Factors associat-ed with local recurrence after skin-sparing mastectomy and im-mediate breast reconstruction for invasive breast cancer[J]. Ann Surg, 2002, 235(6): 814-819.
7	Wright JL,Cordeiro PG,Ben-Porat L, et al. Mastectomy with im-mediate expander-implant reconstruction, adjuvant chemothera-py, and radiation for stage Ⅱ-Ⅲ breast cancer: treatment inter-vals and clinical outcomes[J]. Int J Radiat Oncol Biol Phys, 2008, 70(1): 43-50.
8	Kiricuta I. The use of the great omentum in the surgery of breast cancer[J]. Presse Med, 1963, 71(1): 15-17.
9	Zaha H,Sunagawa H,Kawakami K, et al. Partial breast recon-struction for an inferomedial breast carcinoma using an omental flap[J]. World J Surg, 2010, 34(8): 1782-1787.
10	Zaha H,Inamine S. Laparoscopically harvested omental flap: re-sults for 96 patients[J]. Surg Endosc, 2010, 24(1): 103-107.
11	张道坤,吴溯帆.乳腺癌术后Ⅰ期假体置入乳房重建的研究进展[J].中华医学美容杂志, 2012, 18(1): 78-80.
12	Hamdi M,Craggs B,Stoel AM, et al. Superior epigastric artery perforator flap: anatomy, clinical applications, and review of liter-ature[J]. J Reconstr Microsurg, 2014, 30(7): 475-482.
13	Gill K,Mann R,Brunsworth L, et al. Aesthetic subunit of the breast: an analysis of women's preference and clinical implica-tions[J]. Ann Plast Surg, 2014, 73(2): 249.

[1]	Yaping Jia, Shu'e Zeng. Ultrasound and pathological characteristics of breast metaplastic carcinoma containing squamous cell carcinoma components [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(08): 844-848.
[2]	Wei Tang, Rongquan He, Suning Huang. Application of deep learning in imaging for diagnosis, treatment and prognosis prediction of breast cancer [J]. Chinese Journal of Breast Disease(Electronic Edition), 2023, 17(06): 323-328.
[3]	Xia Kang, Hao Tian, Jin Qian, Yuan Gao, Hongming Miao, Xiaowei Qi. Osteorin attenuates osteolysis during bone metastasis of cancers through inhibiting osteoclastogenesis [J]. Chinese Journal of Breast Disease(Electronic Edition), 2023, 17(06): 329-339.
[4]	Xiaoli Yi, Shasha Hu, Yan Zhang. Impact of HER-2 low expression on response of neoadjuvant chemotherapy and prognosis in breast cancer patients [J]. Chinese Journal of Breast Disease(Electronic Edition), 2023, 17(06): 340-346.
[5]	Jie Shi, Yuntao Li, Haiyan Gao. Prognosis of node-positive luminal A breast cancer patients with neoadjuvant and adjuvant chemotherapy and influencing factors [J]. Chinese Journal of Breast Disease(Electronic Edition), 2023, 17(06): 353-361.
[6]	Jiaxuan Liu, Binghe Xu. Annual advancement of clinical research on breast cancer in China [J]. Chinese Journal of Breast Disease(Electronic Edition), 2023, 17(05): 259-265.
[7]	Chengcai Yao, Changchun Liu, Wenjian Huang, Ming Chen. Single-port non-lipolysis fluorescence-guided laparoscopy for axillary lymph node biopsy in early breast cancer [J]. Chinese Journal of Breast Disease(Electronic Edition), 2023, 17(05): 266-271.
[8]	Bohui Shi, Xiping Ding, Lian Wang, Rong Li, Pingli Guo, Jing Qi, Yao Chen, Na Hao, Yu Ren. Summary of best evidences for prevention and treatment of subcutaneous seroma after breast cancer surgery [J]. Chinese Journal of Breast Disease(Electronic Edition), 2023, 17(05): 277-284.
[9]	Yaping Wang, Jing Fan, Niuniu Hou, Rui Ling. Clinical significance of tumor-infiltrating lymphocytes in HER-2-positive early breast cancer [J]. Chinese Journal of Breast Disease(Electronic Edition), 2023, 17(04): 203-209.
[10]	Wenbo Gao, Ming Li, Yunhao Zhang. Prognostic value and clinical significance of advanced lung cancer inflammation index in patients with triple negative breast cancer [J]. Chinese Journal of Breast Disease(Electronic Edition), 2023, 17(04): 210-217.
[11]	Qinqin Zhang, Junnan Wang, Houmin Lin, Ying Wu, Yuemei Tan, Mingzhou Li, Junfei Jin, Ningxia Wang, Yong Hong. Bioinformatics analysis of differential expression and clinical significance of complement 3 in breast cancer [J]. Chinese Archives of General Surgery(Electronic Edition), 2023, 17(04): 271-277.
[12]	Qingyan Yan, Xiaomei Yong, Hong Luo, Min Du. Prognostic factors and survival analysis of multicenter elderly patients with metastatic breast cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 636-638.
[13]	Zhiming Li, Chenming Guo, Xiaochen Zhuang, Xueqin Hou, Junxi Gao. Comparative study of qualitative and quantitative indicators of contrast-enhanced ultrasound in early breast cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 639-643.
[14]	Hongbo Qu, Fang Zhu, Zhe Xu, Nan Wu, Jianhuai He, Xianming Wang. Application of subclavian lymph node dissection through intermuscular approach in locally advanced breast cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(05): 510-513.
[15]	Shan Chen, Zhiqiang Hu, Yueming Zhang, Ding Tang, Meng Li, Shuai Zhao. Expression of Orai1 and Orai3 in breast cancer and their correlation with pathological indexes [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(05): 514-517.

Please choose a citation manager

Content to export