Article Sidebar

PDF (Tiếng Việt)
Published: 2025-07-25
Abstract Views: 20
Views PDF (Tiếng Việt): 1
DOI: https://doi.org/10.52163/yhc.v66i4.2875
Issue
Tập 66 Số 4
Section
Articles
How to Cite
Phong, L. M., & Cường, N. V. (2025). 13. OUTCOMES OF BREAST RECONSTRUCTION USING LATISSIMUS DORSI FLAP FOLLOWING MASTECTOMY FOR STAGE I-II BREAST CANCER AT MILITARY HOSPITAL 175. Vietnam Journal of Community Medicine, 66(4). https://doi.org/10.52163/yhc.v66i4.2875

13. OUTCOMES OF BREAST RECONSTRUCTION USING LATISSIMUS DORSI FLAP FOLLOWING MASTECTOMY FOR STAGE I-II BREAST CANCER AT MILITARY HOSPITAL 175

Le Minh Phong1, Nguyen Viet Cuong1
1 Military Hospital 175

Main Article Content

Abstract

Objective: To evaluate the outcomes of breast reconstruction using latissimus dorsi flap following mastectomy for stage I-II breast cancer at Military Hospital 175.


Subjects and Methods: A descriptive study combined with a clinical interventional approach, without a control group, was conducted on 46 patients diagnosed with stage I-II breast cancer who underwent breast reconstruction using a latissimus dorsi flap following mastectomy at Military Hospital 175, from January 2022 to October 2024.


Results: The study on 46 patients with stage I-II breast cancer revealed that the majority of cases occurred in the left breast (52.2%), with the most common tumor location being the outer upper quadrant (30.4%). Tumor sizes of 1-3 cm accounted for the highest proportion (69.6%). The survival rate of the flap was 95.7%, with complications including seroma formation (21.7%), surgical site infection (8.7%), and partial flap necrosis (4.3%), while no cases of total flap necrosis were recorded. Patient satisfaction with aesthetics was high, with 32.6% being very satisfied and 43.5% satisfied. Regarding functional recovery, 76.1% of patients achieved a DASH score of 0-25, indicating good shoulder mobility, and no severe limitations were observed.


Conclusion: Breast reconstruction using latissimus dorsi flap demonstrated positive outcomes with low complication rates and good recovery, ensuring both aesthetic and functional results. This method is a suitable option for stage I-II breast cancer patients, contributing to improved quality of life.

Article Details

Keywords

Mastectomy, breast reconstruction, latissimus dorsi flap.

References

[1] Sung, H., et al. (2021). GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. A Cancer Journal for Clinicians, 71(3), p. 209-249.
[2] H. Menke, M. Erkens, R. R. Olbrisch. (2001) "Evolving Concepts in Breast Reconstruction With Latissimus Dorsi Flaps: Results and Follow-up of 121 Consecutive Patients." Annals of Plastic Surgery. 47(2). p. 107-114.
[3] Michael R. DeLong, et al. (2017). Latissimus Dorsi Flap Breast Reconstruction—A Nationwide
[4] Inpatient Sample Review. Annals of Plastic Surgery. 78 (4). p.185-187.
[5] Alexandre Mendonc a Munhoz et al. (2005). Outcome Analysis of Breast-Conservation Surgery and Immediate Latissimus Dorsi Flap Reconstruction in Patients with T1 to T2 Breast Cancer, Plastic and reconstructive surgery. 116(3). p. 741-751.
[6] Kodaganur S, Paga U, Ram A, et al. (2018) Feasibility, safety, and clinical outcomes following latissimus dorsi flap reconstruction in breast cancer - an institutional study. Breast J. 24(4). p.1-3.
[7] Kronowitz SJ, Hunt KK, Kuerer HM, et al. (2004) Delayed-immediate breast reconstruction. Plast Reconstr Surg. 113(6). p. 1617-1629.
[8] Lê Hồng Quang, Lê Văn Vũ (2022), Kết quả tạo hình tuyến vú bằng vạt da cơ lưng rộng sau phẫu thuật bảo tồn tuyến vú tại Bệnh viện K, Tạp chí Y học Việt Nam, 513(1). tr. 74-77.