Clinical Application of Immediate Breast Reconstruction Using Silicon Implant after Skin-Sparing Modified Radical Mastectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

CHEN Weicai , WANG Xianming , WANG Min , WU Huisheng , HE Jingsong

Diagnostic and Medical Treatment Center of Breast Disease, The Second People’s Hospital of Shenzhen, Shenzhen 518035, Guangdong Province, China;

Corresponding author：

Keywords：

Breast cancer; Radical mastectomy; Breast reconstruction; Silicon implant; Nippleareola complex

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

ObjectiveTo investigate the clinical application value of immediate breast reconstruction using silicon implant after skin-sparing modified radical mastectomy for patients with breast cancer. MethodsA total of 28 patients with breast cancer undergoing immediate breast reconstruction using silicon implant after skin-sparing modified radical mastectomy from January 2006 to December 2009 were included in this study. The perioperative results, breast appearance evaluation and followup results were analyzed. ResultsAll 28 patients received axillary lymph node dissection and the number of lymph node dissected was 14-32 (median 21). The operation time was 117-140 min (mean 126 min), blood loss was 82-124 ml (mean 98 ml), and the time to drainage tube removal was 3-5 d. No wound infection, skin necrosis, and foreign body reaction occurred in all the patients, especially in 22 patients underwent nippleareola complex-sparing mastectomy, no ischemia or necrosis occurred in nippleareola complex. For evaluation of breast appearance, excellent was in ten cases and good in 18 cases, thus, the excellent and good rate was 100%. All patients were followed up for 12-48 months (median 24 months) after operation, and distant metastasis, local recurrence, upper extremity edema, and dysfunction were not found. No fiber kystis contracture was found and all patients were satisfied with breast appearance and good handfeels. ConclusionsImmediate breast reconstruction using silicon implant after skinsparing modified radical mastectomy has the advantage of minimal invasion, safety, simple operation, and quick postoperative recovery for patients with breast cancer and the appearance of reconstructed breast is excellent, which can be clinically used widely.

Citation： CHEN Weicai,WANG Xianming,WANG Min,WU Huisheng,HE Jingsong,.. Clinical Application of Immediate Breast Reconstruction Using Silicon Implant after Skin-Sparing Modified Radical Mastectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2011, 18(9): 956-960. doi: Copy

1.	张欣, 张蒲容, 陈洁, 等. 关于女性乳腺疾病患者对保乳及乳房重建认同度的调查 [J]. 中国普外基础与临床杂志, 2010, 17(12): 12401244.
2.	蒋宏传, 李发成, 李杰. 保留皮肤的乳腺癌改良根治术后即刻假体植入再造乳房的探讨[J]. 中国实用外科杂志, 2005, 25(2): 8485.
3.	Toth BA, Forley BG, Calabria R. Retrospective study of the skinsparing mastectomy in breast reconstruction [J]. Plast Reconstr Surg, 1999, 104(1): 7784.
4.	乔群, 孙家明. 乳房整形美容外科学 [M]. 郑州: 郑州大学出版社, 2004: 182186.
5.	左文述. 现代乳腺肿瘤学 [M]. 第2版. 济南: 山东科学技术出版社, 1996: 12401241.
6.	穆兰花, 辛敏强, 栾杰, 等. 即刻乳房再造的并发症及处理原则 [J]. 中国实用外科杂志, 2008, 28(7): 587588.
7.	刘金香. 早期按摩预防假体隆乳术后包膜囊硬化98例 [J]. 中华医学美学美容杂志, 2002, 8(2): 108.
8.	蒋宏传, 李发成, 王克有, 等. 乳腺癌改良根治术与乳房即时再造 [J]. 中国微创外科杂志, 2004, 4(5): 390391,394.
9.	Fersis N, Hoenig A, Relakis K, et al. Skinsparing mastectomy and immediate breast reconstruction:incidence of recurrence in patients with invasive breast cancer [J]. Breast, 2004, 13(6): 488493.
10.	Simmons RM, Fish SK, Gayle L, et al. Local and distant recurrence rates in skinsparing mastectomies compared with nonskinsparing mastectomies [J]. Ann Surg Oncol, 1999, 6(7): 676681.
11.	Rivadeneira DE, Simmons RM, Fish SK, et al. Skinsparing mastectomy with immediate breast reconstruction: a critical analysis of local recurrence [J]. Cancer J, 2000, 6(5): 331335.
12.	高海燕, 朱玉兰, 周晓云. 乳腺癌保留乳头改良根治术同期假体植入乳房再造术 [J]. 实用临床医药杂志, 2008, 12(9): 6364.
13.	王颖, 张学慧, 亓发芝. 保留皮肤的乳腺癌改良根治术后即刻乳房再造的临床应用 [J/CD]. 中华乳腺病杂志(电子版), 2008, 2(3): 279288.
14.	邵志敏, 余科达. 乳腺外科的发展趋势 [J]. 中国普外基础与临床杂志, 2007, 14(3): 252254.
15.	Chagpar A, Langstein HN, Kronowitz SJ, et al. Treatment and outcome of patients with chest wall recurrence after mastectomy and breast reconstruction [J]. Am J Surg, 2004, 187(2): 164169.
16.	Langstein HN, Cheng MH, Singletary SE, et al. Breast cancer recurrence after immediate reconstruction:patterns and significance [J]. Plast Reconstr Surg, 2003, 111(2): 712720.
17.	Murphy RX, Wahhab S, Rovito PF, et al. Impact of immediate reconstruction on the local recurrence of breast cancer after mastectomy [J]. Ann Plast Surg, 2003, 50(4): 333338.
18.	Garwood ER, Moore D, Ewing C, et al. Total skinsparing mastectomy: complications and local recurrence rates in 2 cohorts of patients [J]. Ann Surg, 2009, 249(1): 2632.
19.	吴祥德, 董守义. 乳腺疾病诊治 [M]. 第2版. 北京: 人民卫生出版社, 2009: 404411.
20.	蒋宏传, 苗蕊. 乳腺癌术后乳房重建进展 [J]. 中国普外基础与临床杂志, 2010, 17(12): 12211224.
21.	Birdsell DC, Jenkins H, Berkel H. Breast cancer diagnosis and survival in women with and without breast implants [J]. Plast Reconstr Surg, 1993, 92(5): 795800.
22.	Cronin TD, Gerow FJ. Augmentation mammaplasty: A new “natural feel” prosthesis [C]. Trans Third Int Congr Plastic Surgeons. New York: Excerpta Medica, 1963: 4149.
23.	Ahmed S, Snelling A, Bains M, et al. Breast reconstruction [J]. BMJ, 2005, 330(7497): 943948.
24.	Cicchetti S, Leone MS, Franchelli S, et al. Onestage breast reconstruction using McGhan Style 150 biodimensional expanders: a review of 107 implants with six years experience [J]. J Plast Reconstr Aesthet Surg, 2006, 59(10): 10371042.
25.	朱毓平. 乳腺癌改良根治术后一期乳房假体再造乳房的讨论 [J]. 中国现代医学杂志, 2008, 18(22): 33273328, 3331.

1. 张欣, 张蒲容, 陈洁, 等. 关于女性乳腺疾病患者对保乳及乳房重建认同度的调查 [J]. 中国普外基础与临床杂志, 2010, 17(12): 12401244.
2. 蒋宏传, 李发成, 李杰. 保留皮肤的乳腺癌改良根治术后即刻假体植入再造乳房的探讨[J]. 中国实用外科杂志, 2005, 25(2): 8485.
3. Toth BA, Forley BG, Calabria R. Retrospective study of the skinsparing mastectomy in breast reconstruction [J]. Plast Reconstr Surg, 1999, 104(1): 7784.
4. 乔群, 孙家明. 乳房整形美容外科学 [M]. 郑州: 郑州大学出版社, 2004: 182186.
5. 左文述. 现代乳腺肿瘤学 [M]. 第2版. 济南: 山东科学技术出版社, 1996: 12401241.
6. 穆兰花, 辛敏强, 栾杰, 等. 即刻乳房再造的并发症及处理原则 [J]. 中国实用外科杂志, 2008, 28(7): 587588.
7. 刘金香. 早期按摩预防假体隆乳术后包膜囊硬化98例 [J]. 中华医学美学美容杂志, 2002, 8(2): 108.
8. 蒋宏传, 李发成, 王克有, 等. 乳腺癌改良根治术与乳房即时再造 [J]. 中国微创外科杂志, 2004, 4(5): 390391,394.
9. Fersis N, Hoenig A, Relakis K, et al. Skinsparing mastectomy and immediate breast reconstruction:incidence of recurrence in patients with invasive breast cancer [J]. Breast, 2004, 13(6): 488493.
10. Simmons RM, Fish SK, Gayle L, et al. Local and distant recurrence rates in skinsparing mastectomies compared with nonskinsparing mastectomies [J]. Ann Surg Oncol, 1999, 6(7): 676681.
11. Rivadeneira DE, Simmons RM, Fish SK, et al. Skinsparing mastectomy with immediate breast reconstruction: a critical analysis of local recurrence [J]. Cancer J, 2000, 6(5): 331335.
12. 高海燕, 朱玉兰, 周晓云. 乳腺癌保留乳头改良根治术同期假体植入乳房再造术 [J]. 实用临床医药杂志, 2008, 12(9): 6364.
13. 王颖, 张学慧, 亓发芝. 保留皮肤的乳腺癌改良根治术后即刻乳房再造的临床应用 [J/CD]. 中华乳腺病杂志(电子版), 2008, 2(3): 279288.
14. 邵志敏, 余科达. 乳腺外科的发展趋势 [J]. 中国普外基础与临床杂志, 2007, 14(3): 252254.
15. Chagpar A, Langstein HN, Kronowitz SJ, et al. Treatment and outcome of patients with chest wall recurrence after mastectomy and breast reconstruction [J]. Am J Surg, 2004, 187(2): 164169.
16. Langstein HN, Cheng MH, Singletary SE, et al. Breast cancer recurrence after immediate reconstruction:patterns and significance [J]. Plast Reconstr Surg, 2003, 111(2): 712720.
17. Murphy RX, Wahhab S, Rovito PF, et al. Impact of immediate reconstruction on the local recurrence of breast cancer after mastectomy [J]. Ann Plast Surg, 2003, 50(4): 333338.
18. Garwood ER, Moore D, Ewing C, et al. Total skinsparing mastectomy: complications and local recurrence rates in 2 cohorts of patients [J]. Ann Surg, 2009, 249(1): 2632.
19. 吴祥德, 董守义. 乳腺疾病诊治 [M]. 第2版. 北京: 人民卫生出版社, 2009: 404411.
20. 蒋宏传, 苗蕊. 乳腺癌术后乳房重建进展 [J]. 中国普外基础与临床杂志, 2010, 17(12): 12211224.
21. Birdsell DC, Jenkins H, Berkel H. Breast cancer diagnosis and survival in women with and without breast implants [J]. Plast Reconstr Surg, 1993, 92(5): 795800.
22. Cronin TD, Gerow FJ. Augmentation mammaplasty: A new “natural feel” prosthesis [C]. Trans Third Int Congr Plastic Surgeons. New York: Excerpta Medica, 1963: 4149.
23. Ahmed S, Snelling A, Bains M, et al. Breast reconstruction [J]. BMJ, 2005, 330(7497): 943948.
24. Cicchetti S, Leone MS, Franchelli S, et al. Onestage breast reconstruction using McGhan Style 150 biodimensional expanders: a review of 107 implants with six years experience [J]. J Plast Reconstr Aesthet Surg, 2006, 59(10): 10371042.
25. 朱毓平. 乳腺癌改良根治术后一期乳房假体再造乳房的讨论 [J]. 中国现代医学杂志, 2008, 18(22): 33273328, 3331.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Application of Immediate Breast Reconstruction Using Silicon Implant after Skin-Sparing Modified Radical Mastectomy

Abstract Full text Figures/Tables Video References Cited by

Format

Content