Current status of breast reconstruction in China: an experience of 951 breast reconstructions from a single institute

Abstract

Breast reconstruction cases increased over the 15 years with the change of paradigm. Most strikingly, prosthesis-based reconstruction rapidly gained its prevalence and became the most common strategy. NSM was only performed for highly selected patients. Patients with breast reconstruction were able to achieve satisfactory loco-regional control in our cohort.

Current practice and barriers of mesh-assisted implant-based breast reconstruction in China: A nationwide cross-sectional survey of 110 hospitals

“…Previous data of Fudan University Shanghai Cancer Center (FUSCC) included 951 breast reconstructions conducted between 2000 and 2015 [3]. And concluded that latissimus LD ± implant was performed in 51.5% patients which was much higher than implant (25.5%) and autologous flap (27.0%) [3]. However, the current questionnaire survey represented 65.7% (4,296/6,534) breast reconstructions were IBBR among 95 hospitals in 2017.…”

“…IBBR has replaced LD flap-based reconstruction and become the most commonly-performed breast reconstruction procedure. Previous data of Fudan University Shanghai Cancer Center (FUSCC) included 951 breast reconstructions conducted between 2000 and 2015 [3]. And concluded that latissimus LD ± implant was performed in 51.5% patients which was much higher than implant (25.5%) and autologous flap (27.0%) [3].…”

“…However, the clinical practice of IBBR and the availability of novel techniques vary considerably between centers. Previous reports only reflect the IBBR performed in a single center or single surgeon in China [2,3]. A multicenter national practice survey is urgently needed to panoramically reflect the clinical practice of IBBR and to inform the future randomized clinical trial.…”

“…These meshes provides extra implant coverage and enlarges the subpectoral pocket, so that offered patients the possibility of single-stage, direct-to-implant reconstruction without the need for time-consuming and uncomfortable expansions and a second operation [5e8]. They have also broadened the indications for IBBR, so that more patients are suitable for an implant breast reconstruction [3]. In addition, this is a rapidly-evolving area with new mesh products being launched and new techniques such as prepectoral reconstruction [9].…”

Comparison of surgical complication between immediate implant and autologous breast reconstruction after mastectomy: A multicenter study of 426 cases

“…Despite the advantages of IBR, modified radical mastectomy remained the primary strategy for treating BC in China. Less than 10% of patients with BC in China received IBR at the same time as mastectomy . One barrier to IBR is the concern that surgical complications after reconstruction may have an impact on the recovery outcomes.…”