Application value of laparoscopy in radical mastectomy and omental breast reconstruction

Abstract

Application value of laparoscopy in radical mastectomy and omental breast reconstruction was explored. The medical records of 104 patients undergoing radical mastectomy and omental breast reconstruction from July 2015 to August 2017 in Inner Mongolia Xing'an League People's Hospital were retrospectively analyzed. Fifty-three patients undergoing laparoscopic surgery were the experimental group and 51 patients undergoing open surgery were the control group. The surgery conditions, upper limb function, postoperative complications, volume similarity between unilateral subcutaneous glands and autologous omentum, cosmetic excellent rate and treatment satisfaction were observed. The surgical duration of the patients in the experimental group was significantly longer than that in the control group, but the intraoperative blood loss was less and hospital stay was significantly shorter than that in the control group (P<0.05). The improvement of upper limb function in the experimental group was significantly better than that in the control group (P<0.05). The cosmetic excellent rate in the experimental group was significantly higher than that in the control group (P<0.001). The incidence of postoperative complications in the experimental group was significantly less than that in the control group (P<0.001). The satisfaction degree of patients in the experimental group was significantly higher than that in the control group (P<0.001). Filling the autologous omentum while excising the unilateral mammary gland is an equivalent replacement, which can make the appearance of the breast on the operation side similar to that on the healthy side, thus improving the excellent rate of breast beauty and patient satisfaction.

Effect of pre-injection of Shenfu injection on the hemodynamics of elderly patients with hypertension undergoing laparoscopic radical resection of colorectal cancer

“…The main reason is that the incidence of coexisting diseases in the elderly is high, the decline of the physiological function for the body leads to the reduction of anesthesia and surgery tolerance, therefore, the elderly could not maintain the hemodynamics well during the stable operation period, which can easily lead to the increased risk of cardiovascular and cerebrovascular accidents. And the current important issue for anesthesiologists is how to maintain stable the hemodynamics in elderly hypertensive patients during anesthesia surgery (Shen & Yu, 2019).…”

Verification of Volume Similarity Between Unilateral Mammary Gland and Autologous Omentum in Adult Women by Measuring Cylinder Method

“…For adult women, a pedicled omentum with similar volume to that of the unilateral mammary gland can be obtained only when the omentum is fully dissociated under laparoscopy. 15 The success of subcutaneous mammectomy and omentum breast reconstruction is determined by the following five factors. First, the three deltoid ligaments detailed in Subcutaneous Mammectomy and Tunnel Building are preserved in mammectomy.…”

“…For adult women, a pedicled omentum with similar volume to that of the unilateral mammary gland can be obtained only when the omentum is fully dissociated under laparoscopy. 15 …”

What are the short‐ and long‐term abdominal consequences of an omentectomy? A systematic review

“…Twenty-one studies were included that reported on extra-peritoneal omental pedicles or free flaps (Table 3). Indications for reconstructions varied widely and consisted of breast reconstruction, 24,30,32,33,35,37,40 thoracic reconstruction, [20][21][22]28,31,38 head and neck reconstruction, 26 cardiothoracic surgery, 27 lymphatic flap transfer, 29,34 lower extremity reconstruction for Buerger disease 23 and a combination. 25 Follow-up ranged between 14 months and a maximum of 8.5 years.…”

“…30,33 3.7 | Short-term outcome Short-term complications mainly consisted of postoperative ileus, abdominal wound infections and wound dehiscence and the occurrence varied between 0.7% and 23%. [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37]39,40 Most of the complications were temporary but one of the patients died due to progressive peritonitis. 20 Lee et al also reported a significantly higher pulmonary complication rate after an omentectomy for gastric cancer compared to patients with a partial omentectomy.…”