与胸骨后即刻植入假体的乳房重建相比,胸骨前植入假体是否会延迟辅助治疗?回顾性分析。

Gauthier Zinner , Jérôme Martineau , Giang-Thanh Lam , Mathias Tremp , Salvatore Giordano , Edward T.C. Dong , Daniel F. Kalbermatten , Carlo M. Oranges
{"title":"与胸骨后即刻植入假体的乳房重建相比,胸骨前植入假体是否会延迟辅助治疗?回顾性分析。","authors":"Gauthier Zinner ,&nbsp;Jérôme Martineau ,&nbsp;Giang-Thanh Lam ,&nbsp;Mathias Tremp ,&nbsp;Salvatore Giordano ,&nbsp;Edward T.C. Dong ,&nbsp;Daniel F. Kalbermatten ,&nbsp;Carlo M. Oranges","doi":"10.1016/j.bjps.2024.09.064","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Prepectoral (PP) immediate implant-based breast reconstruction (IBBR) is becoming increasingly popular compared to retropectoral (RP) reconstruction. This study compares the timing of administration of different adjuvant therapy (ATs) after PP or RP IBBR.</div></div><div><h3>Patients and methods</h3><div>A monocentric retrospective analysis was conducted on patients undergoing mastectomy and IBBR from January 2018 to December 2023. Preoperative characteristics, mastectomy procedure type, PP or RP implant placement, postoperative outcomes, AT type, and time between surgery and AT administration were collected and analyzed.</div></div><div><h3>Results</h3><div>167 patients (206 breasts) were included. 123 underwent PP IBBR and 44 RP IBBR. The mean time between surgery and first AT administration was similar in the PP group (45.7 days, SD 39.3) compared to the RP group (37.4 days, SD 33.1) (p-value 0.2100). No significant differences were found in the timing of endocrine therapy (ET), chemotherapy (CT), or radiotherapy (RT) initiation between the PP and RP groups. Patients with seroma had a delayed initiation of CT (83.67 days, SD 123.7) versus those without seroma (42.1 days, SD 29.7) (p-value 0.0298).</div></div><div><h3>Conclusions</h3><div>The average time between surgery and administration of the first AT following PP IBBR was similar compared to RP IBBR. Postoperative seromas were associated with delayed CT in the overall population.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"99 ","pages":"Pages 136-144"},"PeriodicalIF":2.0000,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Does prepectoral placement delay adjuvant therapies compared to retropectoral immediate implant-based breast reconstruction? A retrospective analysis\",\"authors\":\"Gauthier Zinner ,&nbsp;Jérôme Martineau ,&nbsp;Giang-Thanh Lam ,&nbsp;Mathias Tremp ,&nbsp;Salvatore Giordano ,&nbsp;Edward T.C. Dong ,&nbsp;Daniel F. Kalbermatten ,&nbsp;Carlo M. Oranges\",\"doi\":\"10.1016/j.bjps.2024.09.064\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Prepectoral (PP) immediate implant-based breast reconstruction (IBBR) is becoming increasingly popular compared to retropectoral (RP) reconstruction. This study compares the timing of administration of different adjuvant therapy (ATs) after PP or RP IBBR.</div></div><div><h3>Patients and methods</h3><div>A monocentric retrospective analysis was conducted on patients undergoing mastectomy and IBBR from January 2018 to December 2023. Preoperative characteristics, mastectomy procedure type, PP or RP implant placement, postoperative outcomes, AT type, and time between surgery and AT administration were collected and analyzed.</div></div><div><h3>Results</h3><div>167 patients (206 breasts) were included. 123 underwent PP IBBR and 44 RP IBBR. The mean time between surgery and first AT administration was similar in the PP group (45.7 days, SD 39.3) compared to the RP group (37.4 days, SD 33.1) (p-value 0.2100). No significant differences were found in the timing of endocrine therapy (ET), chemotherapy (CT), or radiotherapy (RT) initiation between the PP and RP groups. Patients with seroma had a delayed initiation of CT (83.67 days, SD 123.7) versus those without seroma (42.1 days, SD 29.7) (p-value 0.0298).</div></div><div><h3>Conclusions</h3><div>The average time between surgery and administration of the first AT following PP IBBR was similar compared to RP IBBR. Postoperative seromas were associated with delayed CT in the overall population.</div></div>\",\"PeriodicalId\":50084,\"journal\":{\"name\":\"Journal of Plastic Reconstructive and Aesthetic Surgery\",\"volume\":\"99 \",\"pages\":\"Pages 136-144\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2024-09-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Plastic Reconstructive and Aesthetic Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1748681524006181\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Plastic Reconstructive and Aesthetic Surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1748681524006181","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

摘要

背景:与胸骨后(RP)乳房重建相比,胸骨前(PP)即刻植入假体乳房重建(IBBR)越来越受欢迎。本研究比较了PP或RP IBBR术后不同辅助治疗(AT)的用药时机:对2018年1月至2023年12月期间接受乳房切除术和IBBR的患者进行了单中心回顾性分析。收集并分析了术前特征、乳房切除手术类型、PP或RP植入物放置、术后结果、AT类型以及手术与AT用药之间的时间:结果:共纳入 167 名患者(206 个乳房)。结果:共纳入 167 例患者(206 个乳房),其中 123 例接受了 PP IBBR,44 例接受了 RP IBBR。PP组(45.7天,SD 39.3)与RP组(37.4天,SD 33.1)相比,手术与首次给药之间的平均时间相似(P值为0.2100)。内分泌治疗(ET)、化疗(CT)或放疗(RT)的开始时间在 PP 组和 RP 组之间没有发现明显差异。有血清肿的患者开始 CT 的时间(83.67 天,SD 123.7)晚于无血清肿的患者(42.1 天,SD 29.7)(P 值 0.0298):与RP IBBR相比,PP IBBR从手术到首次使用AT的平均时间相似。在所有人群中,术后血清肿与 CT 延误有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Does prepectoral placement delay adjuvant therapies compared to retropectoral immediate implant-based breast reconstruction? A retrospective analysis

Background

Prepectoral (PP) immediate implant-based breast reconstruction (IBBR) is becoming increasingly popular compared to retropectoral (RP) reconstruction. This study compares the timing of administration of different adjuvant therapy (ATs) after PP or RP IBBR.

Patients and methods

A monocentric retrospective analysis was conducted on patients undergoing mastectomy and IBBR from January 2018 to December 2023. Preoperative characteristics, mastectomy procedure type, PP or RP implant placement, postoperative outcomes, AT type, and time between surgery and AT administration were collected and analyzed.

Results

167 patients (206 breasts) were included. 123 underwent PP IBBR and 44 RP IBBR. The mean time between surgery and first AT administration was similar in the PP group (45.7 days, SD 39.3) compared to the RP group (37.4 days, SD 33.1) (p-value 0.2100). No significant differences were found in the timing of endocrine therapy (ET), chemotherapy (CT), or radiotherapy (RT) initiation between the PP and RP groups. Patients with seroma had a delayed initiation of CT (83.67 days, SD 123.7) versus those without seroma (42.1 days, SD 29.7) (p-value 0.0298).

Conclusions

The average time between surgery and administration of the first AT following PP IBBR was similar compared to RP IBBR. Postoperative seromas were associated with delayed CT in the overall population.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
3.10
自引率
11.10%
发文量
578
审稿时长
3.5 months
期刊介绍: JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.
期刊最新文献
SCIV-only versus VCs-only conduit: Which is optimal for multipaddle and chimeric SCIAP flaps? Clinicopathologic features and surgical management in vulvovaginal melanoma – A retrospective single-center study Rib-sparing subclavian vein decompression in venous thoracic outlet syndrome Editorial Board The impact of cosmetic tourism across one year on an NHS breast surgery unit
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1