双侧下腹部皮瓣游离移植再造 Poland 综合征乳腺癌患者双侧乳房一例_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

宋达疆 ,  李赞 , 周晓 , 章一新 , 彭小伟 , 周波 , 吕春柳 , 伍鹏 , 唐园园 , 易亮 , 罗振华

湖南省肿瘤医院肿瘤整形外科（长沙 410008）;

Corresponding author：

李赞, Email: sdj41@163.com

Keywords：

乳腺癌; Poland 综合征; 腹壁下动脉穿支皮瓣; 乳房再造

DOI：

10.7507/1002-1892.202012121

Video：

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目的总结双侧下腹部皮瓣游离移植再造 1 例 Poland 综合征乳腺癌患者双侧乳房的经验。方法 2020 年 7 月，收治 1 例 41 岁 Poland 综合征双侧乳腺导管内癌女性患者。入院后行双乳皮下腺体切除+双侧下腹部皮瓣游离移植（右侧保留部分腹直肌的腹直肌皮瓣、左侧腹壁下动脉穿支皮瓣）+双侧乳房再造术。腹部皮瓣供区直接拉拢闭合。结果手术时间 11 h。术后皮瓣成活良好，供区切口 Ⅰ 期愈合。患者获随访 3 个月，腹部供区皮缘少许痂皮未脱落，创面已愈合，未见明显并发症。左侧重建乳房较右侧小，患者对重建乳房功能、外形均满意。结论对于 Poland 综合征双侧乳腺癌患者，采用双侧下腹部皮瓣游离移植可一期再造双侧乳房。

Citation： 宋达疆, 李赞, 周晓, 章一新, 彭小伟, 周波, 吕春柳, 伍鹏, 唐园园, 易亮, 罗振华. 双侧下腹部皮瓣游离移植再造 Poland 综合征乳腺癌患者双侧乳房一例. Chinese Journal of Reparative and Reconstructive Surgery, 2021, 35(6): 792-794. doi: 10.7507/1002-1892.202012121 Copy

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9.	Liu C, Luan J, Ouyang Y, et al. Breast reconstruction in Poland syndrome patients with latissimus dorsi myo flap and implant: An efficient endoscopic approach using single transverse axillary incision. Aesthetic Plast Surg, 2019, 43(5): 1186-1194.
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1. Urschel HC Jr. Poland syndrome. Semin Thorac Cardiovasc Surg, 2009, 21(1): 89-94.
2. Seyfer AE, Icochea R, Graeber GM. Poland’s anomaly. Natural history and long-term results of chest wall reconstruction in 33 patients. Ann Surg, 1988, 208(6): 776-782.
3. Seyfer AE, Fox JP, Hamilton CG. Poland syndrome: evaluation and treatment of the chest wall in 63 patients. Plast Reconstr Surg, 2010, 126(3): 902-911.
4. Gascoigne AC, Malata CM. Pleural damage during capsulectomy and exchange of long-standing breast implants in Poland syndrome: a cautionary tale. Ann Plast Surg, 2012, 69(2): 148-151.
5. Cherubino M, Maggiulli F, Pellegatta I, et al. Free gracilis flap for chest wall reconstruction in male patient with Poland syndrome after implant failure. Indian J Plast Surg, 2016, 49(2): 249-252.
6. Delay E, Jorquera F, Lucas R, et al. Sensitivity of breasts reconstructed with the autologous latissimus dorsi flap. Plast Reconstr Surg, 2000, 106(2): 302-322.
7. Salibi A, Hart AM. Articulated endoscopic linear cutter stapler facilitates minimal access harvest of the latissimus dorsi muscle flap for chest wall reconstruction in Poland syndrome. Plast Reconstr Surg, 2014, 134(5): 856e-858e.
8. Watfa W, di Summa PG, Raffoul W. Bipolar latissimus dorsi transfer through a single incision: First key-step in Poland syndrome chest deformity. Plast Reconstr Surg Glob Open, 2016, 4(8): e847. doi: 10.1097/GOX.0000000000000851.
9. Liu C, Luan J, Ouyang Y, et al. Breast reconstruction in Poland syndrome patients with latissimus dorsi myo flap and implant: An efficient endoscopic approach using single transverse axillary incision. Aesthetic Plast Surg, 2019, 43(5): 1186-1194.
10. Masia J, Pons G, Loschi P, et al. Autologous reconstruction of a complex form of Poland syndrome using 2 abdominal perforator free flaps. Ann Plast Surg, 2015, 74(5): 580-583.

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Chinese Journal of Reparative and Reconstructive Surgery

双侧下腹部皮瓣游离移植再造 Poland 综合征乳腺癌患者双侧乳房一例

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