An analysis of breast cancer surgery after free transverse rectus abdominis myocutaneous (TRAM) flap reconstruction

摘要: Abstract Background: Breast reconstruction is currently offered on a more routine basis to patients after mastectomy for breast cancer. This paper analyzes the outcomes of cancer surgery, and results effects using free TRAM flaps. Methods: A retrospective review 75 consecutive who had transverse rectus abdominis myocutaneous (TRAM) flap surgery was performed. total 92 flaps were performed in Victoria, British Columbia, from January 1992 May 1999. Thirty-three (44%) underwent primary an immediate (7 bilateral 27 unilateral) 42 (56%) delayed (10 32 unilateral). Results: Twenty- one (28%) stage 0 disease, 20 (26.7%) I 17 (22.7%) IIA 12 (15%) IIB 4 (5.3%) IIIA disease. In 1 patient disease unknown. The mean age 49.4 years (range 33 73). Of undergoing 3 postoperative chemotherapy radiotherapy. Three combined chemoradiotherapy. none these cases adjuvant therapy by reconstructive surgery. Overall follow-up time diagnosis 56.8 months reconstruction, 36.7 months. To date, 5 recurrences have been detected (6.6%). Mean between detection recurrence 22.8 Detection achieved clinically not impaired any presence flap. Patient satisfaction assessed via telephone survey, with 93% pleased cosmetic their Conclusions: For those requiring mastectomy, safe, cosmetically acceptable surgical alternative that impairs neither effective nor recurrent