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      Skin-sparing mastectomy with immediate nipple reconstruction during autologous latissimus dorsi breast reconstruction: A review of patient satisfaction

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      https://www.riss.kr/link?id=A105943119

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      다국어 초록 (Multilingual Abstract)

      Background Nipple-areolar complex (NAC) reconstruction following curative mastectomy is traditionally performed as a second-stage procedure several months after initial breast reconstruction.
      The recent literature has documented the increasing popularity of immediate nipple reconstruction carried out simultaneously during autologous reconstruction. The aim of this study was to evaluate the surgical outcomes and patient satisfaction with immediate breast and nipple reconstruction performed in a single stage after skin-sparing mastectomy.
      Methods All patients who underwent a skin-sparing mastectomy with immediate latissimus dorsi flap breast and NAC reconstruction as a single-stage procedure from 2007 to 2015 were included. Patient demographics, oncologic details, and surgical outcomes were recorded. The BREAST-Q questionnaire was administered to patients to assess the impact and effectiveness of this reconstructive strategy.
      Results During the study period, 34 breast and NAC reconstructions in 29 patients were performed at Cork University Hospital. The majority of our patient cohort were non-smokers (93.1%) and did not receive adjuvant radiotherapy. Postoperative complications were infrequent, with no cases of partial necrosis or complete loss of the nipple. The response rate to the BREAST-Q was 62% (n=18). Patients reported high levels of satisfaction with the reconstructed breast (62±4), nipple reconstruction (61±4.8), overall outcome (74.3±5), and psychosocial well-being (77.7±3.2).
      Conclusions Skin-sparing mastectomy with immediate nipple reconstruction during autologous latissimus dorsi reconstruction was demonstrated to be a safe and aesthetically reliable procedure in our cohort, yielding high levels of psychological and physical well-being. A single- stage procedure promotes psychosocial well-being involving issues that are intrinsically linked with breast cancer surgery.
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      Background Nipple-areolar complex (NAC) reconstruction following curative mastectomy is traditionally performed as a second-stage procedure several months after initial breast reconstruction. The recent literature has documented the increasing popular...

      Background Nipple-areolar complex (NAC) reconstruction following curative mastectomy is traditionally performed as a second-stage procedure several months after initial breast reconstruction.
      The recent literature has documented the increasing popularity of immediate nipple reconstruction carried out simultaneously during autologous reconstruction. The aim of this study was to evaluate the surgical outcomes and patient satisfaction with immediate breast and nipple reconstruction performed in a single stage after skin-sparing mastectomy.
      Methods All patients who underwent a skin-sparing mastectomy with immediate latissimus dorsi flap breast and NAC reconstruction as a single-stage procedure from 2007 to 2015 were included. Patient demographics, oncologic details, and surgical outcomes were recorded. The BREAST-Q questionnaire was administered to patients to assess the impact and effectiveness of this reconstructive strategy.
      Results During the study period, 34 breast and NAC reconstructions in 29 patients were performed at Cork University Hospital. The majority of our patient cohort were non-smokers (93.1%) and did not receive adjuvant radiotherapy. Postoperative complications were infrequent, with no cases of partial necrosis or complete loss of the nipple. The response rate to the BREAST-Q was 62% (n=18). Patients reported high levels of satisfaction with the reconstructed breast (62±4), nipple reconstruction (61±4.8), overall outcome (74.3±5), and psychosocial well-being (77.7±3.2).
      Conclusions Skin-sparing mastectomy with immediate nipple reconstruction during autologous latissimus dorsi reconstruction was demonstrated to be a safe and aesthetically reliable procedure in our cohort, yielding high levels of psychological and physical well-being. A single- stage procedure promotes psychosocial well-being involving issues that are intrinsically linked with breast cancer surgery.

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      참고문헌 (Reference)

      1 Wellisch DK, "The psychological contribution of nipple addition in breast reconstruction" 80 : 699-704, 1987

      2 Romics L Jr, "Ten-year follow-up of skin-sparing mastectomy followed by immediate breast reconstruction" 99 : 799-806, 2012

      3 Carlson GW, "Skin-sparing mastectomy: oncologic and reconstructive considerations" 225 : 570-575, 1997

      4 Toth BA, "Retrospective study of the skin-sparing mastectomy in breast reconstruction" 104 : 77-84, 1999

      5 Carlson GW, "Results of immediate breast reconstruction after skin-sparing mastectomy" 46 : 222-228, 2001

      6 van Verschuer VM, "Patient satisfaction and nipple-areola sensitivity after bilateral prophylactic mastectomy and immediate implant breast reconstruction in a high breast cancer risk population: nipple-sparing mastectomy versus skin-sparing mastectomy" 77 : 145-152, 2016

      7 Warren Peled A, "Outcomes after total skin-sparing mastectomy and immediate reconstruction in 657 breasts" 19 : 3402-3409, 2012

      8 김혜리, "One-Stage Nipple and Breast Reconstruction Following Areola-Sparing Mastectomy" 대한성형외과학회 40 (40): 553-558, 2013

      9 Taylor CW, "Oncological aspects of breast reconstruction" 14 : 118-130, 2005

      10 Galimberti V, "Nipple-sparing and skin-sparing mastectomy: review of aims, oncological safety and contraindications" 34 (34): S82-S84, 2017

      1 Wellisch DK, "The psychological contribution of nipple addition in breast reconstruction" 80 : 699-704, 1987

      2 Romics L Jr, "Ten-year follow-up of skin-sparing mastectomy followed by immediate breast reconstruction" 99 : 799-806, 2012

      3 Carlson GW, "Skin-sparing mastectomy: oncologic and reconstructive considerations" 225 : 570-575, 1997

      4 Toth BA, "Retrospective study of the skin-sparing mastectomy in breast reconstruction" 104 : 77-84, 1999

      5 Carlson GW, "Results of immediate breast reconstruction after skin-sparing mastectomy" 46 : 222-228, 2001

      6 van Verschuer VM, "Patient satisfaction and nipple-areola sensitivity after bilateral prophylactic mastectomy and immediate implant breast reconstruction in a high breast cancer risk population: nipple-sparing mastectomy versus skin-sparing mastectomy" 77 : 145-152, 2016

      7 Warren Peled A, "Outcomes after total skin-sparing mastectomy and immediate reconstruction in 657 breasts" 19 : 3402-3409, 2012

      8 김혜리, "One-Stage Nipple and Breast Reconstruction Following Areola-Sparing Mastectomy" 대한성형외과학회 40 (40): 553-558, 2013

      9 Taylor CW, "Oncological aspects of breast reconstruction" 14 : 118-130, 2005

      10 Galimberti V, "Nipple-sparing and skin-sparing mastectomy: review of aims, oncological safety and contraindications" 34 (34): S82-S84, 2017

      11 Jabor MA, "Nipple-areola reconstruction: satisfaction and clinical determinants" 110 : 457-463, 2002

      12 Sisti A, "Nipple-areola complex reconstruction techniques: a literature review" 42 : 441-465, 2016

      13 Jalini L, "Nipple reconstruction using the C-V flap technique: long-term outcomes and patient satisfaction" 6 : 68-73, 2017

      14 Hyza P, "New technique of immediate nipple reconstruction during immediate autologous DIEP or MS-TRAM breast reconstruction" 74 : 645-651, 2015

      15 Jeevan R, "National mastectomy and breast reconstruction audit 2011" NHS Information Centre 2011

      16 Spear SL, "Long-term experience with nipple-areola tattooing" 35 : 232-236, 1995

      17 Korn PT, "Immediate nipple reconstruction with autologous breast reconstruction following areola-sparing mastectomy: a marriage of aesthetics and oncologic principles" 134 (134): 79-80, 2014

      18 Craig ES, "Immediate nipple reconstruction utilizing the DIEP flap in areola-sparing mastectomy" 33 : 125-129, 2013

      19 Williams EH, "Immediate nipple reconstruction on a free TRAM flap breast reconstruction" 120 : 1115-1124, 2007

      20 Hong KY, "Immediate nipple reconstruction during implant-based breast reconstruction" 41 : 793-799, 2017

      21 Delay E, "Immediate nipple reconstruction during immediate autologous latissimus breast reconstruction" 118 : 1303-1312, 2006

      22 Davies K, "Factors affecting post-operative complications following skin sparing mastectomy with immediate breast reconstruction" 20 : 21-25, 2011

      23 Pusic AL, "Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q" 124 : 345-353, 2009

      24 Gahm J, "Breast sensibility after bilateral risk-reducing mastectomy and immediate breast reconstruction: a prospective study" 66 : 1521-1527, 2013

      25 Zinzindohoue C, "A prospective study on skin-sparing mastectomy for immediate breast reconstruction with latissimus dorsi flap after neoadjuvant chemotherapy and radiotherapy in invasive breast carcinoma" 23 : 2350-2356, 2016

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
      2020-01-01 평가 등재학술지 유지 (해외등재 학술지 평가) KCI등재
      2012-01-15 학술지명변경 한글명 : 대한성형외과 학회지 -> Archives of Plastic Surgery
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      KCI등재
      2011-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2009-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2007-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2004-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2003-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2001-07-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.12 0.12 0.12
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.12 0.11 0.335 0.02
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