V.N. Savelyev, M.V. Tkachev, R.I. Kochetkov, A.P. Borisov, A.A. Katushin, M.S. Bukanova, M.S. Lamonov, T.V. Konovalova
Samara Regional Clinical Oncology Center, Samara
Tkachev M.V. ― oncologist of the Samara Regional Clinical Oncology Center
50 Solnechnaya Str., Samara, Russian Federation, 443031, tel. +7-927-747-75-77, e-mail: m9277477577@mail.ru
Abstract
The aim of the study was to evaluate the results of a new method of reconstruction in patients diagnosed with breast cancer.
The objectives of the study are to determine the frequency and predictors of the occurrence of postoperative complications when using the claimed method of reconstruction. To assess the quality of life indicators in patients using the proposed method of reconstruction.
Material and methods. The study included 23 women who underwent a one-stage reconstruction. Characteristics of patients: the mean age was 46.8±9.6 years; distribution by stages of the disease: Stage I ― 5 (21.73%), IIa stage ― 10 (43.48%), IIb stage ― 8 (34.73%). Neoadjuvant treatment of patients was not successful. Chemotherapy in the adjuvant mode was performed in 14 (60.87%) patients, radiotherapy ― 7 (30.43%), hormone therapy ― 16 (69.57%). Median postoperative follow-up is 17 months.
Results. The incidence of postoperative complications in the study group was 17.39%, partial flap necrosis in 2 cases (8.7%), suppuration of postoperative wounds ― 1 (4.35%), prosthesis migration ― 1 (4.35%). These complications did not lead to loss of the implant. Predictors of postoperative complications in this method of reconstruction include smoking and a high body mass index. Using this technique, the second stage of surgical treatment was avoided and the operation time was shortened to 103±18.3 minutes, with the average stay of this group of patients in the hospital was 14 days.
Conclusions. One-stage reconstruction of the mammary glands using the above described technique allows achieving a high quality of life with a minimal percentage of postoperative complications.
Key words: breast cancer, one-stage reconstruction, a new method, postoperative complications, patient, the quality of life.