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01.12.2012 | Research | Ausgabe 1/2012 Open Access

World Journal of Surgical Oncology 1/2012

Skin-sparing mastectomy and immediate latissimus dorsi flap reconstruction: a retrospective analysis of the surgical and patient-reported outcomes

Zeitschrift:
World Journal of Surgical Oncology > Ausgabe 1/2012
Autoren:
Zisun Kim, Sang Gue Kang, Jung Ho Roh, Ji Hye Park, Jihyoun Lee, SungYong Kim, Cheol Wan Lim, Min Hyuk Lee
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1477-7819-10-259) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contribution

Z Kim contributed to study conception and design, analysis of data, drafting of the manuscript and critical revision. SG Kang was responsible for analysis and interpretation of data. JH Roh was responsible for acquisition of data. JH Park was responsible for acquisition of data. J Lee was responsible for acquisition of data. SY Kim was responsible for interpretation of data. CW Lim was responsible for interpretation of data. MH Lee contributed to study conception and design and critical revision. All authors read and approved the final manuscript.

Abstract

Background

Skin-sparing mastectomy (SSM) and latissimus dorsi (LD) flap immediate breast reconstruction (IBR) is a tailored surgical procedure. The surgical and patient-reported outcome (PRO) of SSM and LD IBR were assessed.

Methods

Retrospective data of 146 SSMs performed by a single surgeon was reviewed. Among patients included in the data, 65 patients underwent SSM and LD IBR without a prosthetic implant. A survey estimating the degree of patient satisfaction (poor, fair, good, and excellent) as regards the cosmetic outcomes of surgery was performed. The patients were divided into two groups according to their degree of satisfaction (excellent group versus non- excellent group), and analysis was done to identify factors affecting the highest patient satisfaction.

Results

The mean age of the patients was 48.4 years, and pathological results were: infiltrating ductal carcinoma (n = 48, 73.8%), ductal carcinoma in situ (n = 15, 23.1%), and others (n = 2, 3.1%). One patient received postmastectomy radiotherapy. After a mean follow-up of 34 months, no local recurrence occurred. There was no skin necrosis or LD flap loss. Donor site morbidities were seroma (n = 8, 12.3%), scarring (n = 8, 12.3%), and back pain (n = 6, 9.2%). Fifty patients (76.9%) were satisfied and 40% reported their degree of satisfaction as excellent. Breast symmetry (P <0.001), nipple cosmesis (P <0.001), visual difference of bilateral breasts (P = 0.021), and panel assessment score (P <0.001) were factors that affected the highest patient satisfaction.

Conclusions

Our SSM and LD IBR was safe, with no local recurrence and low morbidities, and produced a sufficiently high level of patient satisfaction. Achieving breast symmetry and nipple cosmesis would be the key to meeting the patient’s expectation.
Zusatzmaterial
Authors’ original file for figure 1
12957_2012_1199_MOESM1_ESM.tiff
Authors’ original file for figure 2
12957_2012_1199_MOESM2_ESM.tiff
Authors’ original file for figure 3
12957_2012_1199_MOESM3_ESM.tiff
Literatur
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