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Brustrekonstruktionen bei Patientinnen mit Mammakarzinom

Eine Analyse anhand der Daten von 4335 Patientinnen aus 16 Kliniken

Breast reconstruction for patients with breast carcinoma

An analysis based on the data of 4335 patients from 16 hospitals

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Zusammenfassung

Hintergrund

Bezüglich der Rate der Patientinnen, die nach einer nicht brusterhaltenden Operation plastisch-chirurgisch rekonstruiert werden, gibt es keine eindeutigen Aussagen, die anhand von überregional erhobenen Datenmengen getroffen werden können.

Methoden

Wir haben mit dem Westdeutschen Brustcentrum in Düsseldorf die Daten von insgesamt 4335 Mammakarzinompatientinnen aus 16 Kliniken ausgewertet.

Ergebnisse

Von diesen Patientinnen wurden 1488 nicht brusterhaltend operiert (34%). 197 (13%) der nicht brusterhaltend operierten Patientinnen erhielten eine Mammarekonstruktion. Bei keiner Patientin wurde ein mikrochirurgisches Rekonstruktionsverfahren angewendet oder führte ein plastischer Chirurg die Operation durch.

Schlussfolgerung

Die derzeit geringe Rate der Brustrekonstruktionen soll unter Einschluss der mikrochirurgischen Rekonstruktionsverfahren im Rahmen einer engeren Zusammenarbeit zwischen Gynäkologen und plastischen Chirurgen verbessert werden.

Abstract

Backround

The rate of breast reconstructions after mastectomy because of breast carcinoma has not been thoroughly studied, based on a representatively large data pool.

Methods

We analyzed the data of 4335 patients with breast carcinoma from 16 hospitals together with the German Breast Center (Westdeutsches Brustcentrum).

Results

Of the studied patients, 34% (1488 of 4335) had mastectomies. Breast reconstruction was performed in 13% (197) of those with mastectomy. None of the 197 with breast reconstruction was operated on by a plastic surgeon or had a microsurgical reconstructive procedure (free flap).

Conclusion

The aim of this study is to increase the number of breast reconstructions after mastectomy, including microsurgical procedures, and to improve cooperation between gynecologists and plastic surgeons.

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Authors and Affiliations

  1. Klinik und Poliklinik für Plastische, Hand- und Wiederherstellungschirurgie der Medizinischen Hochschule Hannover, Replantationszentrum, Schwerbrandverletztenzentrum Niedersachsen, Carl-Neuberg- Straße 1, 30625, Hannover, Deutschland

    M.V. Meyer-Marcotty

  2. Klinik für Plastische Chirurgie und Handchirurgie, Friederikenstift Hannover, Hannover, Deutschland

    M.V. Meyer-Marcotty & M. Flügel

  3. Klinik für Plastische Chirurgie und Handchirurgie, Brustzentrum, Klinikum Lippe Lemgo, Lippe Lemgo, Deutschland

    J. Hankiss & J. Redeker

Authors
  1. M.V. Meyer-Marcotty
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  2. J. Hankiss
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  3. M. Flügel
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  4. J. Redeker
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Correspondence to M.V. Meyer-Marcotty.

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Meyer-Marcotty, M., Hankiss, J., Flügel, M. et al. Brustrekonstruktionen bei Patientinnen mit Mammakarzinom. Chirurg 78, 637–642 (2007). https://doi.org/10.1007/s00104-007-1341-5

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  • DOI: https://doi.org/10.1007/s00104-007-1341-5

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