Article Sidebar

PDF
Date Published: 25/04/2022
Abstract Views: 132
Views PDF: 233
DOI: https://doi.org/10.51298/vmj.v512i1.2249
Issue
Vol. 512 No. 1 (2022)
Section
Các bài báo
How to Cite
Hồng Quang, L. ., & Thế Vương, M. . (2022). SERIES CASES REPORT: LAPAROSCOPIC HARVEST OF LATISSIMUS DORSI FLAP IN IMMEDIATE BREAST RECONSTRUCTION. Vietnam Medical Journal, 512(1). https://doi.org/10.51298/vmj.v512i1.2249

SERIES CASES REPORT: LAPAROSCOPIC HARVEST OF LATISSIMUS DORSI FLAP IN IMMEDIATE BREAST RECONSTRUCTION

Lê Hồng Quang1,, Mai Thế Vương1
1 K Hospital

Main Article Content

Abstract

The latissimus dorsi muscle flap is frequently used for breast reconstruction after mastectomy in purpose of treating cancer. Conventional harvesting of the latissimus dorsi flap, however, results in a long scar on the lateral back that has unsightly impact on cosmetic outcome. Harvesting using an endoscopic approach minimizes the scar in donor site. In Viet Nam, this is still a novel method and not widespeadly practiced owing to sophisticated technique. We report three clinical cases of breast cancer treated by nipple sparing mastectomy followed by immediate breast reconstruction with an endoscopic technique of latissimus dorsi harvesting. The average operation time was 273,3 minutes and it took 193.3 minutes to harvest latissimus dorsi muscle flap through endoscopic approach. The average postoperative time was 12 days, no surgical complications were observed, pain was well controlled, all of drains were removed after 11 days. The early cosmetic outcome reachs to the patients’ desire. 

Article Details

Keywords

Endoscopic surgery, latissimus dorsi

References

1. Schneider W. J., Hill H. L., Jr. và Brown R. G. (1977), Latissimus dorsi myocutaneous flap for breast reconstruction, Br J Plast Surg, 30(4), 277-81.
2. Fine N. A., Orgill D. P. và Pribaz J. J. (1994), Early clinical experience in endoscopic-assisted muscle flap harvest, Ann Plast Surg, 33(5), 465-9; discussion 469-72.
3. Friedlander L.vàSundin J. (1994), Minimally invasive harvesting of the latissimus dorsi, Plast Reconstr Surg, 94(6), 881-4.
4. Masuoka T., Fujikawa M., Yamamoto H. et al (1998), Breast reconstruction after mastectomy without additional scarring: application of endoscopic latissimus dorsi muscle harvest, Ann Plast Surg, 40(2), 123-7.
5. Serra-Renom J. M., Serra-Mestre J. M., Martinez L. et al (2013), Endoscopic reconstruction of partial mastectomy defects using latissimus dorsi muscle flap without causing scars on the back, Aesthetic Plast Surg, 37(5), 941-9.
6. Pomel C., Missana M. C., Atallah D. et al (2003), Endoscopic muscular latissimus dorsi flap harvesting for immediate breast reconstruction after skin sparing mastectomy, Eur J Surg Oncol, 29(2), 127-31.
7. Kiiski J., Kaartinen I., Kotaluoto S. et al (2017), Modified approach for endoscopic harvest of the latissimus dorsi free flap with CO2 insufflation and standard laparoscopic equipment, Microsurgery, 37(5), 383-387.