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Arch Plast Surg. 2018 Jan;45(1):29-36. doi: 10.5999/aps.2017.01200. Epub 2017 Oct 27.

The usefulness of pedicled perforator flap in partial breast reconstruction after breast conserving surgery in Korean women.

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Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, Korea.
Department of Surgery, Kyungpook National University School of Medicine, Daegu, Korea.



The emergence of breast-conserving surgery combined with radiotherapy as the treatment of choice for early stage breast cancer has resulted in greater focus on oncoplastic breast surgery. The use of perforator flaps has particularly gained in reputation for its effectiveness in the reconstruction of partial breast defects in Korean women. Herein, we present our experience with the use of thoracodorsal artery perforator (TDAP) and lateral intercostal artery perforator (LICAP) flaps.


This study included 33 patients who underwent breast reconstruction using TDAP or LICAP flaps at our hospital from January 2011 to December 2014. Data from patient medical records, and patient satisfaction surveys, which were conducted 12 months postoperatively, were retrospectively evaluated.


TDAP and LICAP flap-based reconstructions were performed in 14 and 19 patients, respectively. Five patients developed complications that required additional intervention. Overall patient satisfaction was observed to be excellent in 15 (46%) patients, and good in 12 (36%).


Based on our experience, oncoplastic breast surgery using TDAP or LICAP flap is an effective remodeling technique for small-to-moderate breast defects in Korean women with smaller breasts.


Breast reconstruction; Intercostal artery perforator flap; Latissimus dorsi flap; Oncoplastic breast surgery; Thoracodorsal artery perforator flap

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