Comparative Study Between Pedicled Latissimusdorsi Flap Reconstruction And Traditional Conservative Breast Surgery in Upper Outer Quadrant Breast Cancer

Abstract

Background:Oncoplastic breast surgery (OPS)has developed as an extension of breast conserving surgery (BCS) in an effort to improve esthetic and functional outcome following surgery for breast cancer (BC). This study evaluatedthe benefits of reconstruction using the latissimusdorsi(LD) flap, as compared with local tissue displacement.Methods: This was a comparative non-randomized control study on patients after excision of the malignant mass from the upper outer quadrant BC. The two groups were classified into Group A: reconstruction by local tissues displacement, and Group B: reconstruction by pedicledLD flap.The two techniques were compared regarding history, examination finding, intraoperative and post-operative complications.Results:there was no significant difference between group A and B regarding their age, BMI, distance between tumor, NACandpostoperative complications. Tumor size was larger in group B,there was a significant longer operative time,increased blood loss and longer time to recoveryin group B than group A.Conclusion: OPS with breast reconstruction using the pedicledLD flap accompanied with better intra and postoperative outcomes.