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Current Status of Breast Reconstruction in Southern China: A 15 Year, Single Institutional Experience of 20,551 Breast Cancer Patients 期刊论文

编号：

1eda16fc-6214-4420-9736-194a182bdf37
作者：

Chen Jiajian(陈嘉健)#^[1,2]Huang Naisi^[1,2];Xue Jingyan(薛静彦)^[1,2]Yang Benlong(杨犇龙)^[1,2]Liu Guangyu(柳光宇)^[1,2]Di Genhong(狄根红)^[1,2]Shao Zhimin(邵志敏)^[1,2]Wu Jiong(吴炅)*^[1,2]
语种：

英文
期刊：

MEDICINE ISSN：0025-7974 2015 年 94 卷 34 期 ; AUG
收录：
摘要：

The study of this study is to assess the current status and trend of the application of breast reconstruction in China.
A retrospective review of all patients who had received surgical treatment for breast cancer in the Fudan University Shanghai Cancer Center between January 1999 and June 2014 was performed. The clinicopathological and epidemiological parameters and the follow-up information of each patient were collected.
A total of 20,551 patients with 20,974 surgeries were identified. Of those, the rates of patients received mastectomy, breast conserving therapy, and breast reconstruction were 81.2% (17,040 cases), 15.3% (3216 cases), and 3.4% (718 cases), respectively. Skin-sparing mastectomy with autologous breast reconstruction was algate the dominant option for breast reconstruction although a rapid growth in the application of prosthetic reconstructions was observed in recent years. The rates of complications that required reoperation in patients reconstructed with latissimus dorsi myocutaneous flap, pedicled transverse rectus abdominis myocutaneous flap, free flaps, and prosthesis were 1.2%, 8.5%, 11.4%, and 10.5%, respectively, while the revision rates were 0.7%, 6.1 %, 5.3%, and 2.3%, respectively. Multiple regression analysis confirmed that types of surgery did not affect the disease-free survival of breast cancer patients.
Skin-sparing mastectomy with breast reconstruction is oncologically safe while achieving satisfactory aesthetic outcomes. Autologous reconstruction remains the most commonly used technique while there is a rapid increase of prosthetic reconstruction in recent years. The low demand for breast aesthetics among Chinese women, defects of healthcare system, and the limited availability of recourses impeded the development of breast reconstruction techniques in China.
推荐引用方式
GB/T 7714：

Chen Jia-jian,Huang Nai-si,Xue Jing-yan, et al. Current Status of Breast Reconstruction in Southern China: A 15 Year, Single Institutional Experience of 20,551 Breast Cancer Patients [J].MEDICINE,2015,94(34).
APA：

Chen Jia-jian,Huang Nai-si,Xue Jing-yan,Yang Ben-long,&Wu Jiong.(2015).Current Status of Breast Reconstruction in Southern China: A 15 Year, Single Institutional Experience of 20,551 Breast Cancer Patients .MEDICINE,94(34).
MLA：

Chen Jia-jian, et al. "Current Status of Breast Reconstruction in Southern China: A 15 Year, Single Institutional Experience of 20,551 Breast Cancer Patients" .MEDICINE 94,34(2015).
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