优化单方面DIEP片乳房重建:一项英国-荷兰多中心比较研究
Maximilian Jacobi1,2, Petko Shtarbanov3, Punn Tannirandorn3
1Department of Plastic, Reconstructive and Hand Surgery, Medisch Spectrum Twente (MST), Enschede, The Netherlands.
JPRAS open
|February 13, 2026
概括
深下腹膜穿孔器 (DIEP) 片提供了出色的乳房重建结果. 不同的手术模式和恢复途径影响效率,但不影响片存活率,这表明改善是可能的.
科学领域:
- 整形外科 整形外科 整形外科
- 手术瘤学手术瘤学
- 重建性手术是一种重建性手术.
背景情况:
- 深下腹膜穿孔器 (DIEP) 是自主乳房重建的黄金标准.
- 目前的局限性包括长时间的手术时间和高的住院需求.
- 需要在国际上对外科模型和术后途径进行比较.
研究的目的:
- 为了比较两个国际中心之间的DIEP片重建的术后结果,具有不同的外科模型和外科周围的途径.
- 确定影响DIEP片乳房重建效率和并发症概况的因素.
主要方法:
- 在英国和荷兰对单方面DIEP重建的回顾性队列研究.
- 英国:单个外科医生模型与手术后增强恢复 (ERAS).
- 荷兰:采用精益优化的共同外科医生模型,没有ERAS.
主要成果:
- 包括203名患者;可比的整体并发症率 (英国61%,荷兰56%).
- 英国的运营时间较长 (464分比330分),但停留时间较短 (4.8天比5.9天).
- 损失率相当于 (4-7%);长时间的手术预测了轻微的并发症.
结论:
- 操作工作流程,病例组合和术后途径影响效率和并发症,而不是存活率.
- 手术后增强恢复 (ERAS),共同外科医生模型和精益优化可以改善结果.
- 针对高风险患者的量身定制计划对于优化DIEP片乳房重建至关重要.
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