BMC surgery · 2026
A simplified strategy for chest wall reconstruction: locoregional flaps as a reliable alternative in resource-limited settings.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Yang Tian, Liu Zhongxin, Wang Shaoyou, Wen Tao, Zhang Guangxu, Zhang Baocai, Huang Siqi, Zhou Xinyu, Li Jingdan, Shi Yong
Аннотация
BACKGROUND: The reconstruction of complex chest wall defects resulting from advanced breast cancer poses a significant challenge in facilities lacking microsurgical expertise. This study aims to present a simplified, reliable, and easily reproducible locoregional flap strategy for these scenarios.
METHODS: A retrospective analysis was conducted on four female patients who underwent immediate chest wall reconstruction following resection for locally advanced breast cancer between 2020 and 2022. A standardized protocol employing regional flaps, selected based on defect size and location, was used. Core principles included meticulous preservation of the blood supply, tension-free closure, and adequate drainage.
RESULTS: The chest wall defects ranged from 8 × 8 cm to 26.3 × 21.5 cm. The flaps used included lateral thoracic and pedicled abdominal flaps. All flaps survived completely (4/4). One patient with a massive defect experienced minor superficial skin compromise (approx. 3 cm) at the distal flap edge, which healed with conservative management. All defects were successfully addressed in a single stage, resulting in high patient satisfaction with the chest wall contour.
CONCLUSION: This simplified locoregional flap strategy, which does not require microvascular anastomosis, is feasible strategy and has a short learning curve. Despite the limited number of cases, it is particularly suitable for promotion in primary hospitals or resource-limited settings, offering a practical solution for reconstructing complex chest wall defects in advanced breast cancer patients.
METHODS: A retrospective analysis was conducted on four female patients who underwent immediate chest wall reconstruction following resection for locally advanced breast cancer between 2020 and 2022. A standardized protocol employing regional flaps, selected based on defect size and location, was used. Core principles included meticulous preservation of the blood supply, tension-free closure, and adequate drainage.
RESULTS: The chest wall defects ranged from 8 × 8 cm to 26.3 × 21.5 cm. The flaps used included lateral thoracic and pedicled abdominal flaps. All flaps survived completely (4/4). One patient with a massive defect experienced minor superficial skin compromise (approx. 3 cm) at the distal flap edge, which healed with conservative management. All defects were successfully addressed in a single stage, resulting in high patient satisfaction with the chest wall contour.
CONCLUSION: This simplified locoregional flap strategy, which does not require microvascular anastomosis, is feasible strategy and has a short learning curve. Despite the limited number of cases, it is particularly suitable for promotion in primary hospitals or resource-limited settings, offering a practical solution for reconstructing complex chest wall defects in advanced breast cancer patients.