Extending the role of breast-conserving surgery by immediate volume replacement.
【연구 목적】 유방보존술(breast-conserving surgery) 후 흔히 발생하는 조직 손실에 의한 심미적 실패를 해결하기 위해, 광배근 미니플랩(latissimus dorsi miniflap, LDMF)을 이용한 즉각적 부피 대체술이 심미적 결과에 미치는 영향을 평가하고 유방보존술의 적용 범위를 확장하고자 하였다.
- p-value P < 0.0001
APA
Raja MA, Straker VF, Rainsbury RM (1997). Extending the role of breast-conserving surgery by immediate volume replacement.. The British journal of surgery, 84(1), 101-5.
MLA
Raja MA, et al.. "Extending the role of breast-conserving surgery by immediate volume replacement.." The British journal of surgery, vol. 84, no. 1, 1997, pp. 101-5.
PMID
9043470
Abstract
[BACKGROUND] Cosmetic failure following breast-conserving surgery is commonly caused by volume loss, and the effect of immediate volume replacement on cosmetic outcome using a latissimus dorsi miniflap (LDMF) has been investigated. The technique avoids a frontal scar and allows a wide retromammary excision via a lateral approach.
[METHODS] Twenty patients who had LDMF reconstruction were compared with 38 who had wide local excision (WLE) without reconstruction between 1991 and 1994. Cosmetic outcome was judged using (1) breast retraction assessment and (2) panel assessment, recording the frequency of cosmetic failure.
[RESULTS] Patients who had LDMF reconstruction were younger (mean 45.1 versus 58.6 years; P < 0.0001) with larger tumours (mean 2.5 versus 1.3 cm; P < 0.0001) and underwent wider specimen excision (57 versus 13 per cent more than 150 g; P = 0.004) with reduced margin involvement (10 versus 37 per cent positive margins; P = 0.03) compared with those who had WLE. Cosmetic failure was uncommon after immediate volume replacement (LDMF 10 per cent versus WLE 34 per cent; P = 0.045).
[CONCLUSION] LDMF reconstruction extends the role of breast-conserving surgery without cosmetic penalties, and may reduce the need for mastectomy.
[METHODS] Twenty patients who had LDMF reconstruction were compared with 38 who had wide local excision (WLE) without reconstruction between 1991 and 1994. Cosmetic outcome was judged using (1) breast retraction assessment and (2) panel assessment, recording the frequency of cosmetic failure.
[RESULTS] Patients who had LDMF reconstruction were younger (mean 45.1 versus 58.6 years; P < 0.0001) with larger tumours (mean 2.5 versus 1.3 cm; P < 0.0001) and underwent wider specimen excision (57 versus 13 per cent more than 150 g; P = 0.004) with reduced margin involvement (10 versus 37 per cent positive margins; P = 0.03) compared with those who had WLE. Cosmetic failure was uncommon after immediate volume replacement (LDMF 10 per cent versus WLE 34 per cent; P = 0.045).
[CONCLUSION] LDMF reconstruction extends the role of breast-conserving surgery without cosmetic penalties, and may reduce the need for mastectomy.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 해부 | breast
|
유방 | dict | 4 | |
| 해부 | latissimus dorsi miniflap
|
scispacy | 1 | ||
| 해부 | lateral
|
scispacy | 1 | ||
| 해부 | LDMF
→ latissimus dorsi miniflap
|
scispacy | 1 | ||
| 약물 | [CONCLUSION] LDMF
|
scispacy | 1 | ||
| 질환 | Cosmetic failure
|
scispacy | 1 | ||
| 질환 | volume loss
|
scispacy | 1 | ||
| 질환 | LDMF
→ latissimus dorsi miniflap
|
scispacy | 1 | ||
| 질환 | tumours
|
scispacy | 1 | ||
| 기타 | retromammary
|
scispacy | 1 |
MeSH Terms
Adult; Aged; Breast Neoplasms; Female; Humans; Length of Stay; Mastectomy; Middle Aged; Surgery, Plastic; Surgical Flaps
🔗 함께 등장하는 도메인
이 논문이 속한 카테고리와 같은 논문에서 자주 함께 다뤄지는 카테고리들
관련 논문
- The impact of three-dimensional simulation and virtual reality technologies on surgical decision-making and postoperative satisfaction in aesthetic surgery: a preliminary study.
- Cutaneous fistula of the breast: A complication of cosmetic autologous fat transfer.
- Epidermal inclusion cyst after breast reduction mammoplasty.
- The Plastic Surgery In-Service Examination: A Scoping Review.
- Clinical outcomes of synthetic absorbable mesh use in breast surgery: First case series in reconstruction and aesthetic mastopexy.