Abstract:
Objective To investigate the effect of the breast reconstruction of nipple areola sparing modified radical mastectomy by serratus anterior muscle flap combined with prosthesis implantation in young and middle-aged breast cancer patients.
Methods 64 cases of breast cancer were collected from January 2015 to February 2017 in our hospital, according to the different operation ways, they were divided into improved group (32 cases) and traditional group (32 cases), the improved group was given the modified radical mastectomy with nipple areola sparing by serratus anterior muscle flap combined with prosthesis implantation, the traditional group was given traditional modified radical mastectomy. Statistical analysis were performed by using SPSS 19.0 software, preoperative related indicators and the total score of FACT-B were presented as and examined by using t test; postoperative complications were examined by chi square test, a P<0.05 was considered as significant difference.
Results Compared with the traditional group, the intraoperative blood loss, operation time of the improved group were both significantly increased (P<0.05), but there was no significant difference in the number of lymph node dissection between the two groups (P>0.05); Before operation, there were no significant difference in the each component and total score of the FACT-B between the two groups (P>0.05); After operation, compared with the traditional group, the physical condition, emotional state, social/family situation, additional attention and the total score of FACT-B were significantly increased of the improved group, the difference was statistically significant (P<0.05). The total incidence of postoperative complications was 9.4% in the improved group and 15.6% in the traditional group, the difference was not statistically significant (P>0.05).
Conclusion Breast reconstruction of nipple areola sparing modified radical mastectomy by serratus anterior muscle flap combined with prosthesis implantation in young and middle-aged breast cancer patients has good clinical effect and good safety, can significantly improve the quality of life.
Key words:
Breast Neoplasms,
Mastectomy, Radical,
Breast Implantation,
Mammaplasty
Di Lyu, Zhen Jin, Wei Ding. Effect of the breast reconstruction of nipple areola sparing modified radical mastectomy by serratus anterior muscle flap combined with prosthesis implantation in young and middle-aged breast cancer patients[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2018, 12(06): 510-512.