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Mol Clin Oncol. 2017 Dec;7(6):1089-1092. doi: 10.3892/mco.2017.1435. Epub 2017 Oct 3.

Assessment of the use of latissimus dorsi restoration during modified radical mastectomy in breast cancer patients.

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1
Breast Center, the Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050011, P.R. China.

Abstract

The incision area of modified radical mastectomy in breast cancer patients is associated with subcutaneous effusion and skin flap necrosis as the most common complications. The aim of the present study was to assess the effect of latissimus dorsi restoration during modified radical mastectomy in breast cancer patients by evaluating 365 cases. Among these cases, 185 received modified radical mastectomy combined with intraoperative latissimus dorsi restoration, while 180 received modified radical mastectomy alone. The flap tension, drainage fluid amount and extubation time were compared between the two methods. The flap tension in patients who received modified radical mastectomy combined with intraoperative latissimus dorsi restoration was significantly lower and the blood supply was better. After surgery, the drainage fluid amount was also significantly lower in these patients compared with the control group. Furthermore, the mean time to drainage tube removal was significantly shorter in these patients and the postoperative cosmetic outcome was superior. Thus, it was concluded that modified radical mastectomy combined with intraoperative latissimus dorsi restoration in breast cancer patients was associated with reduced drainage fluid effusion, shorter hospitalization time and decreased flap tension. Overall, this method appears to be potentially suitable for extensive application in the clinical setting.

KEYWORDS:

breast cancer; latissimus dorsi restoration; modified radical mastectomy

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