Abstract
BackgroundThere are many different methods used for immediate breast reconstruction, but the advantages and disadvantages between distinct methods are not reported and compared directly.MethodsWe collected the data of patients who underwent breast reconstruction from 2010 to 2015 and classified a total of 103 patients into three groups: i) skin- or nipple-sparing mastectomy with implant and partial latissimus dorsi flap (MIPLD); ii) skin- or nipple-sparing mastectomy with the whole latissimus dorsi flap (MWLD); and iii) breast-conserving surgery and partial latissimus dorsi flap (BCSPLD). The outcome, safety, and cosmetic outcome of the latissimus dorsi muscle flap with or without implant were reported and compared.ResultsThe procedures were successful in all cases. None of the patients had severe complications. The 5-year distant metastasis-free survival is 94.2%. All the patients exhibited good arm and back function. Based on the evaluation of the BREAST-Q score, the cosmetic outcome of Satisfaction with Breasts was excellent or good in 97.8% of the cases.ConclusionsMIPLD, MWLD, and BCSPLD stand for three distinct methods for immediate breast reconstruction with good outcome and aesthetic effect. They were safe, were easy to perform, and provided quick recovery and good quality of life. Therefore, these three breast reconstructive methods are worthy of widespread use in clinical practice and provide different ways to reconstruct the breast according to the patients’ conditions and preferences.
Highlights
Breast cancer is the most common malignancy for women
The latissimus dorsi flap is widely used in breast reconstruction, including the whole latissimus dorsi muscle flap and partial latissimus dorsi muscle flap combined with implant or without implant
We collected the data of patients who underwent breast reconstruction from 2010 to 2015 and classified a total of 103 patients into three groups: i) skin- or nipple-sparing mastectomy with implant and partial latissimus dorsi flap (MIPLD), 51 cases; ii) skin- or nipple-sparing mastectomy with the whole latissimus dorsi flap (MWLD), 19 cases; and iii) breast-conserving surgery and partial latissimus dorsi flap (BCSPLD), 33 cases
Summary
Breast cancer is the most common malignancy for women. The treatment of choice for early-stage breast cancer is surgery [1]. It is vital to consider other surgical approaches such as breast reconstruction and oncoplastic conservation surgery. The advantage of the whole latissimus dorsi muscle flap, compared with rectus abdominis muscle breast reconstruction, is that it provides better postoperative appearance, requires lesser surgery time, results in lesser injury, and is easier to perform [2]. Using the partial latissimus dorsi muscle flap combined with implant is a good way to reconstruct the breast and does not need the change of position during operation. Covering the implant and reconstructing the breast with partial latissimus dorsi muscle flap or whole latissimus dorsi flap are considered as safe and reliable, especially in the case of breast cancer patients who have indications of neoadjuvant or adjuvant radiotherapy [3, 4]. There are many different methods used for immediate breast reconstruction, but the advantages and disadvantages between distinct methods are not reported and compared directly
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
