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

Surgery Today
Yuko KijimaShoji Natsugoe

Abstract

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

References

Aug 1, 1978·The Surgical Clinics of North America·A M Cooperman, M Dinner
Jan 21, 2004·The Breast : Official Journal of the European Society of Mastology·S K Al-Ghazal, R W Blamey
Mar 26, 2009·The Breast : Official Journal of the European Society of Mastology·Yuko KijimaShoji Natsugoe
Oct 15, 2009·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Lorie L HughesWilliam C Wood
Jan 20, 2010·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Yuko KijimaShoji Natsugoe
Feb 16, 2010·General Thoracic and Cardiovascular Surgery·Takemi HandaTakayuki Sato
May 31, 2011·The Breast : Official Journal of the European Society of Mastology·Yuko KijimaShoji Natsugoe
Sep 17, 2011·Surgery Today·Yuko KijimaShoji Natsugoe
Feb 23, 2012·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Takeaki IshiharaJunichi Hiratsuka

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Citations

May 2, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Elisabeth Lauritzen, Tine Engberg Damsgaard
Jul 18, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Fasna RaufdeenAchilles Thoma
Oct 30, 2021·The Cochrane Database of Systematic Reviews·Akriti NandaPankaj G Roy

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