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The oncoplastic breast surgery with pedicled omental flap harvested by laparoscopy: initial experiences from China.

Guan D, Lin H, Lv Z, Xin Y, Meng K, Song X - World J Surg Oncol (2015)

Bottom Line: The surgery was performed successfully in 24 patients.All these patients recovered uneventfully after the surgery.The cosmetic satisfaction rate was 91.7% and 95.8% by surgeon and patients, respectively.

View Article: PubMed Central - PubMed

Affiliation: Department of Breast and Thyroid Surgery, Zhejiang Provincial People's Hospital, 158 Shang Tang Road, Hangzhou, 310014, Zhejiang Province, China. guandandan_1987@163.com.

ABSTRACT

Background: A new technique of oncoplastic breast surgery (OBS) using laparoscopically harvested pedicled omental flap has been developed in the past 10 years. This study aimed to evaluate the feasibility of this technique.

Methods: Twenty-five patients underwent OBS using laparoscopically harvested omental flap. Operative time, blood loss, complications, recurrence, and cosmetic outcomes were prospectively analyzed.

Results: Between June 2010 and March 2014, 25 patients were recruited in our study. The surgery was performed successfully in 24 patients. All these patients recovered uneventfully after the surgery. Mean operative time was 310 min, ranging from 205 to 410 min. Mean blood loss was 70 ml, ranging from 20 to 150 ml. Patients were followed up for 32 months on average, ranging from 6 to 51 months. Four patients complained of mild epigastric discomfort. One patient had local recurrence and distant bone and liver metastasis and died 11 months after the surgery. One patient was diagnosed with metastases in the lung, bone, and liver without local recurrence 2 years after surgery. The cosmetic satisfaction rate was 91.7% and 95.8% by surgeon and patients, respectively.

Conclusion: OBS with laparoscopically harvested omental flap might be a feasible technique with a good cosmetic outcome.

No MeSH data available.


Related in: MedlinePlus

The omentum seems less susceptible to radiation. (A) Ductal carcinoma in situ in the lower inner quadrant of the right breast. (B) Oncoplasty with omentum. The outcome (C) 4 months after surgery, 3 months after radiation, asymmetry demonstrated; (D) 11 months after surgery, 10 months after radiation, recovered with symmetry.
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Fig3: The omentum seems less susceptible to radiation. (A) Ductal carcinoma in situ in the lower inner quadrant of the right breast. (B) Oncoplasty with omentum. The outcome (C) 4 months after surgery, 3 months after radiation, asymmetry demonstrated; (D) 11 months after surgery, 10 months after radiation, recovered with symmetry.

Mentions: Whole breast radiation was delivered after surgery. One case of ductal carcinoma in situ in the lower inner quadrant of the right breast developed breast asymmetry due to skin contraction 3 months after radiation. However, the cosmetic result was much improved 10 months after radiation without clinical intervention (Figure 3).Figure 3


The oncoplastic breast surgery with pedicled omental flap harvested by laparoscopy: initial experiences from China.

Guan D, Lin H, Lv Z, Xin Y, Meng K, Song X - World J Surg Oncol (2015)

The omentum seems less susceptible to radiation. (A) Ductal carcinoma in situ in the lower inner quadrant of the right breast. (B) Oncoplasty with omentum. The outcome (C) 4 months after surgery, 3 months after radiation, asymmetry demonstrated; (D) 11 months after surgery, 10 months after radiation, recovered with symmetry.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4358712&req=5

Fig3: The omentum seems less susceptible to radiation. (A) Ductal carcinoma in situ in the lower inner quadrant of the right breast. (B) Oncoplasty with omentum. The outcome (C) 4 months after surgery, 3 months after radiation, asymmetry demonstrated; (D) 11 months after surgery, 10 months after radiation, recovered with symmetry.
Mentions: Whole breast radiation was delivered after surgery. One case of ductal carcinoma in situ in the lower inner quadrant of the right breast developed breast asymmetry due to skin contraction 3 months after radiation. However, the cosmetic result was much improved 10 months after radiation without clinical intervention (Figure 3).Figure 3

Bottom Line: The surgery was performed successfully in 24 patients.All these patients recovered uneventfully after the surgery.The cosmetic satisfaction rate was 91.7% and 95.8% by surgeon and patients, respectively.

View Article: PubMed Central - PubMed

Affiliation: Department of Breast and Thyroid Surgery, Zhejiang Provincial People's Hospital, 158 Shang Tang Road, Hangzhou, 310014, Zhejiang Province, China. guandandan_1987@163.com.

ABSTRACT

Background: A new technique of oncoplastic breast surgery (OBS) using laparoscopically harvested pedicled omental flap has been developed in the past 10 years. This study aimed to evaluate the feasibility of this technique.

Methods: Twenty-five patients underwent OBS using laparoscopically harvested omental flap. Operative time, blood loss, complications, recurrence, and cosmetic outcomes were prospectively analyzed.

Results: Between June 2010 and March 2014, 25 patients were recruited in our study. The surgery was performed successfully in 24 patients. All these patients recovered uneventfully after the surgery. Mean operative time was 310 min, ranging from 205 to 410 min. Mean blood loss was 70 ml, ranging from 20 to 150 ml. Patients were followed up for 32 months on average, ranging from 6 to 51 months. Four patients complained of mild epigastric discomfort. One patient had local recurrence and distant bone and liver metastasis and died 11 months after the surgery. One patient was diagnosed with metastases in the lung, bone, and liver without local recurrence 2 years after surgery. The cosmetic satisfaction rate was 91.7% and 95.8% by surgeon and patients, respectively.

Conclusion: OBS with laparoscopically harvested omental flap might be a feasible technique with a good cosmetic outcome.

No MeSH data available.


Related in: MedlinePlus