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Immediate breast reconstruction with laparoscopically harvested omental flap: A retrospective analysis with a maximum 12-year follow-up

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Abstract

Purpose

To evaluate the clinical efficacy of immediate breast reconstruction with free or pedicled laparoscopically harvested omental flaps (LHOFs).

Methods

Between March 2011 and 2021, 82 patients who underwent immediate breast reconstruction with free or pediculated omental flaps were enrolled. Breast total or partial mastectomy, laparoscopic greater omentum harvest, and breast reconstruction were carried out in an orderly manner. Postoperative operative results, cosmetic outcomes, and complications were investigated.

Results

Seventeen cases of free LHOF and 65 cases of pedicled LHOF were performed. Cosmetic results were mostly satisfactory (61% excellent, 35% good), with a soft breast that was natural in appearance. Satisfaction investigation showed that 96.2% of patients were satisfied with the reconstructed breast. Uneventful follow-up showed no abdominal complications at the donor site, and the surface skin displayed no swelling. No major complications were found, except for three cases of necrosis. One patient developed slight hematoma. Two patients were found to have local recurrence, and one had distant metastasis. Twenty-four patients accepted radiotherapy, but no size reduction was noted after radiotherapy. We followed the patients to determine their survival status. All patients were alive, except for 1 in the free LHOF group who died 31.2 months after surgery.

Conclusion

Immediate breast reconstruction with LHOF provides a soft reconstructed breast with relatively little donor-site deformity and is useful for breast tumor-specific immediate reconstruction.

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Funding

This work was supported by The National Natural Science Foundation of China (No. 81472598).

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Author notes

  1. Guangtai Shen and Yuqing Yang are the authors contributed equally to the work.

Authors and Affiliations

  1. Department of Thyroid and Breast Surgery, Xinganmeng People’s Hospital, Inner Mongolia Autonomous Region, Ulanhot, 137400, People’s Republic of China

    Guangtai Shen, Xiaoli Ding & Xiaoqiang Yu

  2. Department of Thyroid, Breast and Vascular Surgery, Xijing Hospital, The Fourth Military Medical University, 127 Changle West Road, Xi’an, Shaanxi, 710032, People’s Republic of China

    Yuqing Yang, Meiling Huang & Nanlin Li

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  1. Guangtai Shen
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  2. Yuqing Yang
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  3. Meiling Huang
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  4. Xiaoli Ding
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Correspondence to Nanlin Li or Xiaoqiang Yu.

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Shen, G., Yang, Y., Huang, M. et al. Immediate breast reconstruction with laparoscopically harvested omental flap: A retrospective analysis with a maximum 12-year follow-up. Surg Today 54, 186–194 (2024). https://doi.org/10.1007/s00595-023-02718-5

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  • DOI: https://doi.org/10.1007/s00595-023-02718-5

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