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Published in: World Journal of Surgical Oncology 1/2015

Open Access 01-12-2015 | Research

The oncoplastic breast surgery with pedicled omental flap harvested by laparoscopy: initial experiences from China

Authors: Dandan Guan, Hui Lin, Zhenye Lv, Ying Xin, Kexin Meng, Xiangyang Song

Published in: World Journal of Surgical Oncology | Issue 1/2015

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Abstract

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.
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Metadata
Title
The oncoplastic breast surgery with pedicled omental flap harvested by laparoscopy: initial experiences from China
Authors
Dandan Guan
Hui Lin
Zhenye Lv
Ying Xin
Kexin Meng
Xiangyang Song
Publication date
01-12-2015
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2015
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/s12957-015-0514-9

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