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01.11.2014 | Original Article

Oncoplastic surgery combining partial mastectomy and immediate volume replacement using a thoracodorsal adipofascial cutaneous flap with a crescent-shaped dermis

verfasst von: Yuko Kijima, Heiji Yoshinaka, Munetsugu Hirata, Hideo Arima, Akihiro Nakajo, Yoshiaki Shinden, Yoshikazu Uenosono, Hiroshi Okumura, Sumiya Ishigami, Shoji Natsugoe

Erschienen in: Surgery Today | Ausgabe 11/2014

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Abstract

Purpose

The treatment of early breast cancer using breast-conserving therapy commonly ensures local control and acceptable cosmetic results. We herein report a useful technique, including the use of a thoracodorsal adipofascial cutaneous flap for reconstructing defects in the outer quadrant area after partial mastectomy, which achieved excellent results.

Methods

We performed partial mastectomy followed by immediate volume replacement using a modified thoracodorsal adipofascial cutaneous flap with a crescent-shaped dermis in ten patients.

Results

The modified oncoplastic technique was performed without any complications in all patients. Sufficient blood flow to the cutaneous flap with the crescent-shaped dermis was visualized in two patients during the operation after the injection of indocyanine green. The oncological and cosmetic results were excellent to good in these patients.

Conclusions

Oncoplastic surgery using a modified thoracodorsal adipofascial flap with a crescent-shaped dermis was successfully performed in patients with early cancer lesions in the outer quadrant, and the cosmetic results obtained were excellent.

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Titel: Oncoplastic surgery combining partial mastectomy and immediate volume replacement using a thoracodorsal adipofascial cutaneous flap with a crescent-shaped dermis
verfasst von: Yuko Kijima
Heiji Yoshinaka
Munetsugu Hirata
Hideo Arima
Akihiro Nakajo
Yoshiaki Shinden
Yoshikazu Uenosono
Hiroshi Okumura
Sumiya Ishigami
Shoji Natsugoe
Publikationsdatum: 01.11.2014
Verlag: Springer Japan
Erschienen in: Surgery Today / Ausgabe 11/2014
Print ISSN: 0941-1291
Elektronische ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-013-0812-1

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Abstract

Purpose

Methods

Results

Conclusions

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