Immediate breast reconstruction with extended latissimus dorsi myocutaneous flap after nipple-sparing modified radical mastectomy in 61 cases

Abstract

Objective To investigate the surgical method and therapeutic effects of immediate breast reconstruction with extended latissimus dorsi myocutaneous flap after nipple-sparing mastectomy. Methods From January 2008 to July 2014, 61 patients with breast cancer were given immediate breast reconstruction with extended latissimus dorsi myocutaneous flap after nipple-sparing mastectomy. Results All of the 61 patients obtained successful breast reconstruction without flap necrosis and serious complications. Followed-up from 12 to 78 months, all patients were no local recurrence, but distant metastasis was occurred in 4 cases and death in 1 case. The morphology of reconstructed breast was excellent in 93.4 % (57/61) cases. Conclusion Immediate breast reconstruction with extended latissimus dorsi myocutaneous flap after nipple-sparing mastectomy is safe, easy to master and has few serious complications. The reconstructed breast has a natural and beautiful appearance and improves the quality of life. It does not affect postoperative adjuvant therapy. Most Chinese patients can obtain breast reconstruction without implant. This method is worth to spread. Key words: Breast neoplasms; Breast reconstruction; Extended latissimus dorsi myocutaneous flap; Nipple-sparing mastectomy