Breast-sparing reconstruction with latissimus dorsi miniflaps.

摘要: Volume loss following breast-conserving surgery (BCS) is the key reason for major local deformity and a bad cosmetic outcome. Latissimus dorsi miniflaps can be used to reconstruct central upper quadrant resection defects, replacing volume excised with autogenous tissue. Partial mastectomy, axillary dissection, flap harvest reconstruction of defect performed as one-stage procedure through single lateral incision. This oncoplastic approach allows extensive excision during BCS without penalties in group patients normally treated by mastectomy.