A retrospective study of lymphatic transverse rectus abdominis myocutaneous/deep inferior epigastric perforator flaps for breast cancer treatment-induced upper-limb lymphoedema
Identifieur interne : 000833 ( Main/Exploration ); précédent : 000832; suivant : 000834A retrospective study of lymphatic transverse rectus abdominis myocutaneous/deep inferior epigastric perforator flaps for breast cancer treatment-induced upper-limb lymphoedema
Auteurs : Zhuangqing Yang [République populaire de Chine] ; Sheng Huang [République populaire de Chine] ; Jiankui Wang [République populaire de Chine] ; Yan Xi [République populaire de Chine] ; Xiaojuan Yang [République populaire de Chine] ; Qi Tang [République populaire de Chine] ; Juan Du [République populaire de Chine] ; Jianyun Nie [République populaire de Chine] ; Tianning Zou [République populaire de Chine] ; Shaoqing Zhou [République populaire de Chine] ; Xueliang Tang [République populaire de Chine] ; Dedian Chen [République populaire de Chine]Source :
- Scientific Reports [ 2045-2322 ] ; 2017.
Abstract
Breast cancer-related lymphoedema (BCRL) is a common and intractable complication. To evaluate the possible complications of using lymphatic transverse rectus abdominis myocutaneous/deep inferior epigastric perforator (TRAM/DIEP) flaps for breast reconstruction and BCRL treatment, 20 patients with moderate or severe BCRL were retrospectively enrolled between November 2012 and October 2014. 10 patients had undergone lymphatic TRAM/DIEP flap surgery were assigned to the surgery group. 10 patients unwilling to undergo reconstruction were assigned to the physiotherapy group treated with traditional physical therapy. Upper-limb movement and circumference were measured and patients’ subjective assessment was assessed using a questionnaire. In the surgery group, all flaps were successfully transferred. BCRL in 8 patients was improved by one level. The upper-limb circumference returned to normal in 1 case, and only 1 patient did not improve. In the physiotherapy group, a slight improvement was noted in 6 patients and unchanged in four cases. From the questionnaires, patients underwent lymphatic TRAM/DIEP flap surgery reported a significantly greater improvement in the affected limb (
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DOI: 10.1038/s41598-017-00164-1
PubMed: 28250439
PubMed Central: 5427827
Affiliations:
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China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province</wicri:regionArea><wicri:noRegion>Yunnan province</wicri:noRegion></affiliation></author><author><name sortKey="Huang, Sheng" sort="Huang, Sheng" uniqKey="Huang S" first="Sheng" last="Huang">Sheng Huang</name><affiliation wicri:level="1"><nlm:aff id="Aff1">The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province</wicri:regionArea><wicri:noRegion>Yunnan province</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Jiankui" sort="Wang, Jiankui" uniqKey="Wang J" first="Jiankui" last="Wang">Jiankui Wang</name><affiliation wicri:level="1"><nlm:aff id="Aff1">The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province</wicri:regionArea><wicri:noRegion>Yunnan province</wicri:noRegion></affiliation></author><author><name sortKey="Xi, Yan" sort="Xi, Yan" uniqKey="Xi Y" first="Yan" last="Xi">Yan Xi</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.452826.f</institution-id><institution>Department of Head and Neck Surgery,</institution><institution>the Third Affiliated Hospital of Kunming Medical University,</institution></institution-wrap>Yunnan province, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Yunnan province</wicri:regionArea></affiliation></author><author><name sortKey="Yang, Xiaojuan" sort="Yang, Xiaojuan" uniqKey="Yang X" first="Xiaojuan" last="Yang">Xiaojuan Yang</name><affiliation wicri:level="1"><nlm:aff id="Aff1">The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province</wicri:regionArea><wicri:noRegion>Yunnan province</wicri:noRegion></affiliation></author><author><name sortKey="Tang, Qi" sort="Tang, Qi" uniqKey="Tang Q" first="Qi" last="Tang">Qi Tang</name><affiliation wicri:level="1"><nlm:aff id="Aff1">The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province</wicri:regionArea><wicri:noRegion>Yunnan province</wicri:noRegion></affiliation></author><author><name sortKey="Du, Juan" sort="Du, Juan" uniqKey="Du J" first="Juan" last="Du">Juan Du</name><affiliation wicri:level="1"><nlm:aff id="Aff1">The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province</wicri:regionArea><wicri:noRegion>Yunnan province</wicri:noRegion></affiliation></author><author><name sortKey="Nie, Jianyun" sort="Nie, Jianyun" uniqKey="Nie J" first="Jianyun" last="Nie">Jianyun Nie</name><affiliation wicri:level="1"><nlm:aff id="Aff1">The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province</wicri:regionArea><wicri:noRegion>Yunnan province</wicri:noRegion></affiliation></author><author><name sortKey="Zou, Tianning" sort="Zou, Tianning" uniqKey="Zou T" first="Tianning" last="Zou">Tianning Zou</name><affiliation wicri:level="1"><nlm:aff id="Aff1">The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province</wicri:regionArea><wicri:noRegion>Yunnan province</wicri:noRegion></affiliation></author><author><name sortKey="Zhou, Shaoqing" sort="Zhou, Shaoqing" uniqKey="Zhou S" first="Shaoqing" last="Zhou">Shaoqing Zhou</name><affiliation wicri:level="1"><nlm:aff id="Aff1">The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province</wicri:regionArea><wicri:noRegion>Yunnan province</wicri:noRegion></affiliation></author><author><name sortKey="Tang, Xueliang" sort="Tang, Xueliang" uniqKey="Tang X" first="Xueliang" last="Tang">Xueliang Tang</name><affiliation wicri:level="1"><nlm:aff id="Aff1">The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province</wicri:regionArea><wicri:noRegion>Yunnan province</wicri:noRegion></affiliation></author><author><name sortKey="Chen, Dedian" sort="Chen, Dedian" uniqKey="Chen D" first="Dedian" last="Chen">Dedian Chen</name><affiliation wicri:level="1"><nlm:aff id="Aff1">The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical University, Yunnan province</wicri:regionArea><wicri:noRegion>Yunnan province</wicri:noRegion></affiliation></author></analytic><series><title level="j">Scientific Reports</title><idno type="eISSN">2045-2322</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Breast cancer-related lymphoedema (BCRL) is a common and intractable complication. To evaluate the possible complications of using lymphatic transverse rectus abdominis myocutaneous/deep inferior epigastric perforator (TRAM/DIEP) flaps for breast reconstruction and BCRL treatment, 20 patients with moderate or severe BCRL were retrospectively enrolled between November 2012 and October 2014. 10 patients had undergone lymphatic TRAM/DIEP flap surgery were assigned to the surgery group. 10 patients unwilling to undergo reconstruction were assigned to the physiotherapy group treated with traditional physical therapy. Upper-limb movement and circumference were measured and patients’ subjective assessment was assessed using a questionnaire. In the surgery group, all flaps were successfully transferred. BCRL in 8 patients was improved by one level. The upper-limb circumference returned to normal in 1 case, and only 1 patient did not improve. In the physiotherapy group, a slight improvement was noted in 6 patients and unchanged in four cases. From the questionnaires, patients underwent lymphatic TRAM/DIEP flap surgery reported a significantly greater improvement in the affected limb (<italic>p</italic> < 0.05). In the physiotherapy group, the limb subjective did not improve as well as in the surgery group. Lymphatic TRAM/DIEP is a safe and effective option for patients who suffer from post-mastectomy lymphoedema.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Torre, La" uniqKey="Torre L">LA Torre</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Disipio, T" uniqKey="Disipio T">T DiSipio</name></author><author><name sortKey="Rye, S" uniqKey="Rye S">S Rye</name></author><author><name sortKey="Newman, B" uniqKey="Newman B">B Newman</name></author><author><name sortKey="Hayes, S" uniqKey="Hayes S">S Hayes</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hayes, Sc" uniqKey="Hayes S">SC Hayes</name></author><author><name sortKey="Janda, M" uniqKey="Janda M">M Janda</name></author><author><name sortKey="Cornish, B" uniqKey="Cornish B">B Cornish</name></author><author><name sortKey="Battistutta, D" uniqKey="Battistutta D">D Battistutta</name></author><author><name 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Saaristo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Paavonen, K" uniqKey="Paavonen K">K Paavonen</name></author><author><name sortKey="Puolakkainen, P" uniqKey="Puolakkainen P">P Puolakkainen</name></author><author><name sortKey="Jussila, L" uniqKey="Jussila L">L Jussila</name></author><author><name sortKey="Jahkola, T" uniqKey="Jahkola T">T Jahkola</name></author><author><name sortKey="Alitalo, K" uniqKey="Alitalo K">K Alitalo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chang, Dw" uniqKey="Chang D">DW Chang</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Yang, Zhuangqing" sort="Yang, Zhuangqing" uniqKey="Yang Z" first="Zhuangqing" last="Yang">Zhuangqing Yang</name></noRegion><name sortKey="Chen, Dedian" sort="Chen, Dedian" uniqKey="Chen D" first="Dedian" last="Chen">Dedian Chen</name><name sortKey="Du, Juan" sort="Du, Juan" uniqKey="Du J" first="Juan" last="Du">Juan Du</name><name sortKey="Huang, Sheng" sort="Huang, Sheng" uniqKey="Huang S" first="Sheng" last="Huang">Sheng Huang</name><name sortKey="Nie, Jianyun" sort="Nie, Jianyun" uniqKey="Nie J" first="Jianyun" last="Nie">Jianyun Nie</name><name sortKey="Tang, Qi" sort="Tang, Qi" uniqKey="Tang Q" first="Qi" last="Tang">Qi Tang</name><name sortKey="Tang, Xueliang" sort="Tang, Xueliang" uniqKey="Tang X" first="Xueliang" last="Tang">Xueliang Tang</name><name sortKey="Wang, Jiankui" sort="Wang, Jiankui" uniqKey="Wang J" first="Jiankui" last="Wang">Jiankui Wang</name><name sortKey="Xi, Yan" sort="Xi, Yan" uniqKey="Xi Y" first="Yan" last="Xi">Yan Xi</name><name sortKey="Yang, Xiaojuan" sort="Yang, Xiaojuan" uniqKey="Yang X" first="Xiaojuan" last="Yang">Xiaojuan Yang</name><name sortKey="Zhou, Shaoqing" sort="Zhou, Shaoqing" uniqKey="Zhou S" first="Shaoqing" last="Zhou">Shaoqing Zhou</name><name sortKey="Zou, Tianning" sort="Zou, Tianning" uniqKey="Zou T" first="Tianning" last="Zou">Tianning Zou</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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