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The oncoplastic breast surgery with pedicled omental flap harvested by laparoscopy: initial experiences from China
Dandan Guan1, Hui Lin2, Zhenye Lv3
1Department of Breast and Thyroid Surgery, Zhejiang Provincial People's Hospital, 158 Shang Tang Road, Hangzhou, 310014, Zhejiang Province, China. guandandan_1987@163.com.
Background:
A new technique of oncoplastic breast surgery (OBS) using laparoscopically harvested pedicled omental flap has been developed in the past 10 years. This study aimed to evaluate the feasibility of this technique.
Methods:
Twenty-five patients underwent OBS using laparoscopically harvested omental flap. Operative time, blood loss, complications, recurrence, and cosmetic outcomes were prospectively analyzed.
Results:
Between June 2010 and March 2014, 25 patients were recruited in our study. The surgery was performed successfully in 24 patients. All these patients recovered uneventfully after the surgery. Mean operative time was 310 min, ranging from 205 to 410 min. Mean blood loss was 70 ml, ranging from 20 to 150 ml. Patients were followed up for 32 months on average, ranging from 6 to 51 months. Four patients complained of mild epigastric discomfort. One patient had local recurrence and distant bone and liver metastasis and died 11 months after the surgery. One patient was diagnosed with metastases in the lung, bone, and liver without local recurrence 2 years after surgery. The cosmetic satisfaction rate was 91.7% and 95.8% by surgeon and patients, respectively.
Conclusion:
OBS with laparoscopically harvested omental flap might be a feasible technique with a good cosmetic outcome.
