Laparoscopic Abdominal Surgery after Primary Breast Reconstruction Using an Abdominal Flap
<i>Background and objectives</i>: Our department has been performing primary breast reconstruction for breast cancer surgery, incorporating a transverse rectus abdominis myocutaneous flap (TRAM)/vertical rectus abdominis myocutaneous flap (VRAM) since 1998 and a deep inferior epigastric...
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| Format: | Article |
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MDPI AG
2021-09-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/57/9/952 |
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| author | Tsuyoshi Nakagawa Goshi Oda Hiroki Mori Noriko Uemura Kimio Wakana Noriko Oshima Masanori Tokunaga Yuya Sato Kumiko Hayashi Yuichi Kumaki Toshiaki Ishikawa Kentaro Okamoto Hiroyuki Uetake |
| author_facet | Tsuyoshi Nakagawa Goshi Oda Hiroki Mori Noriko Uemura Kimio Wakana Noriko Oshima Masanori Tokunaga Yuya Sato Kumiko Hayashi Yuichi Kumaki Toshiaki Ishikawa Kentaro Okamoto Hiroyuki Uetake |
| author_sort | Tsuyoshi Nakagawa |
| collection | DOAJ |
| description | <i>Background and objectives</i>: Our department has been performing primary breast reconstruction for breast cancer surgery, incorporating a transverse rectus abdominis myocutaneous flap (TRAM)/vertical rectus abdominis myocutaneous flap (VRAM) since 1998 and a deep inferior epigastric artery perforator flap (DIEP) since 2008. Currently, most gastrointestinal operations in abdominal surgery are performed laparoscopically or are robot-assisted. Cases in which abdominal surgery was performed after breast reconstruction using an abdominal flap were reviewed. <i>Method:</i> A total of 119 cases of primary breast reconstruction using an abdominal flap performed in our department were reviewed. <i>Result:</i> The reconstructive techniques were DIEP in 69 cases and TRAM/VRAM in 50 cases. After breast surgery, seven abdominal operations were performed in six cases. In DIEP cases, one robotic surgery was performed for uterine cancer, and one laparoscopic surgery was performed for ovarian tumor. In TRAM/VRAM cases, two laparoscopic cholecystectomies, one laparoscopic total gastrectomy, one laparoscopic ileus reduction, and one open total hysterectomy oophorectomy were performed. Six surgeries were completed by laparoscopy or robotic assistance. <i>Conclusion:</i> The survival rate after breast cancer surgery is improving, and the choice of breast reconstruction procedure should take into account the possibility of performing a prophylactic resection of the ovaries due to the genetic background and possibly postoperative abdominal surgery due to other diseases. However, in cases in which laparoscopic surgery was attempted after breast reconstruction using an abdominal flap, the laparoscopic surgery could be completed in all cases. |
| first_indexed | 2024-03-10T07:28:24Z |
| format | Article |
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| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T07:28:24Z |
| publishDate | 2021-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-cf6629549649494ba89dacb9471bf0c02023-11-22T14:08:49ZengMDPI AGMedicina1010-660X1648-91442021-09-0157995210.3390/medicina57090952Laparoscopic Abdominal Surgery after Primary Breast Reconstruction Using an Abdominal FlapTsuyoshi Nakagawa0Goshi Oda1Hiroki Mori2Noriko Uemura3Kimio Wakana4Noriko Oshima5Masanori Tokunaga6Yuya Sato7Kumiko Hayashi8Yuichi Kumaki9Toshiaki Ishikawa10Kentaro Okamoto11Hiroyuki Uetake12Department of Breast Surgery, Tokyo Medical and Dental University, Tokyo 1138519, JapanDepartment of Breast Surgery, Tokyo Medical and Dental University, Tokyo 1138519, JapanDepartment of Plastic Surgery, Tokyo Medical and Dental University, Tokyo 1138519, JapanDepartment of Plastic Surgery, Tokyo Medical and Dental University, Tokyo 1138519, JapanDepartment of Gynecology, Tokyo Medical and Dental University, Tokyo 1138519, JapanDepartment of Gynecology, Tokyo Medical and Dental University, Tokyo 1138519, JapanDepartment of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo 1138519, JapanDepartment of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo 1138519, JapanDepartment of Specialized Surgeries, Graduated School, Tokyo Medical and Dental University, Tokyo 1138519, JapanDepartment of Specialized Surgeries, Graduated School, Tokyo Medical and Dental University, Tokyo 1138519, JapanDepartment of Specialized Surgeries, Graduated School, Tokyo Medical and Dental University, Tokyo 1138519, JapanDepartment of Specialized Surgeries, Graduated School, Tokyo Medical and Dental University, Tokyo 1138519, JapanDepartment of Specialized Surgeries, Graduated School, Tokyo Medical and Dental University, Tokyo 1138519, Japan<i>Background and objectives</i>: Our department has been performing primary breast reconstruction for breast cancer surgery, incorporating a transverse rectus abdominis myocutaneous flap (TRAM)/vertical rectus abdominis myocutaneous flap (VRAM) since 1998 and a deep inferior epigastric artery perforator flap (DIEP) since 2008. Currently, most gastrointestinal operations in abdominal surgery are performed laparoscopically or are robot-assisted. Cases in which abdominal surgery was performed after breast reconstruction using an abdominal flap were reviewed. <i>Method:</i> A total of 119 cases of primary breast reconstruction using an abdominal flap performed in our department were reviewed. <i>Result:</i> The reconstructive techniques were DIEP in 69 cases and TRAM/VRAM in 50 cases. After breast surgery, seven abdominal operations were performed in six cases. In DIEP cases, one robotic surgery was performed for uterine cancer, and one laparoscopic surgery was performed for ovarian tumor. In TRAM/VRAM cases, two laparoscopic cholecystectomies, one laparoscopic total gastrectomy, one laparoscopic ileus reduction, and one open total hysterectomy oophorectomy were performed. Six surgeries were completed by laparoscopy or robotic assistance. <i>Conclusion:</i> The survival rate after breast cancer surgery is improving, and the choice of breast reconstruction procedure should take into account the possibility of performing a prophylactic resection of the ovaries due to the genetic background and possibly postoperative abdominal surgery due to other diseases. However, in cases in which laparoscopic surgery was attempted after breast reconstruction using an abdominal flap, the laparoscopic surgery could be completed in all cases.https://www.mdpi.com/1648-9144/57/9/952breast cancerlaparoscopic abdominal surgeryprimary breast reconstructionabdominal flap |
| spellingShingle | Tsuyoshi Nakagawa Goshi Oda Hiroki Mori Noriko Uemura Kimio Wakana Noriko Oshima Masanori Tokunaga Yuya Sato Kumiko Hayashi Yuichi Kumaki Toshiaki Ishikawa Kentaro Okamoto Hiroyuki Uetake Laparoscopic Abdominal Surgery after Primary Breast Reconstruction Using an Abdominal Flap Medicina breast cancer laparoscopic abdominal surgery primary breast reconstruction abdominal flap |
| title | Laparoscopic Abdominal Surgery after Primary Breast Reconstruction Using an Abdominal Flap |
| title_full | Laparoscopic Abdominal Surgery after Primary Breast Reconstruction Using an Abdominal Flap |
| title_fullStr | Laparoscopic Abdominal Surgery after Primary Breast Reconstruction Using an Abdominal Flap |
| title_full_unstemmed | Laparoscopic Abdominal Surgery after Primary Breast Reconstruction Using an Abdominal Flap |
| title_short | Laparoscopic Abdominal Surgery after Primary Breast Reconstruction Using an Abdominal Flap |
| title_sort | laparoscopic abdominal surgery after primary breast reconstruction using an abdominal flap |
| topic | breast cancer laparoscopic abdominal surgery primary breast reconstruction abdominal flap |
| url | https://www.mdpi.com/1648-9144/57/9/952 |
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