RT Journal Article
T1 Breast reconstruction techniques with perforator flaps vs other surgical techniques in breast cancer
A1 Martín Merino Acera, María del Rosario
A1 Colmenarejo García, Esther
A1 Ferrero San Román, Carla
A1 Valdazo Gómez, Adela
A1 Sánchez Egido, Iris
A1 Latorre Marlasca, Lucía
A1 Paseiro Crespo, Gloria Marta
AB Introduction: Chest wall perforator flaps are increasingly used as volume replacement techniques in breast-conserving surgery for patients with unfavorable tumor-to-breast ratios or limited remodeling capacity. Their oncologic safety and complication profile compared to other standard techniques remain under evaluation.Methods: We conducted a retrospective comparative observational study of 346 patients undergoing breast cancer surgery between 2020 and 2024. Patients were divided into 4 groups: chest wall perforator flap reconstruction (n = 36), lumpectomy without reshaping (n = 161), lumpectomy with oncoplastic mammoplasty (n = 69), and mastectomy with or without immediate reconstruction (n = 80). Surgical complications were classified using Clavien-Dindo. Re-excision rates, local recurrence, and patient satisfaction (BREAST-Q) were evaluated.Results: Chest wall perforator flap patients had a complication rate of 11.1%, comparable to lumpectomy (11.8%) and oncoplastic mammoplasty (11.6%), and lower than mastectomy with reconstruction (23.1%). The re-excision rate in chest wall perforator flap was 13.9%, compared with 19.3% in lumpectomy and 17.4% in oncoplastic cases. No local or distant recurrences were observed in chest wall perforator flap patients during a mean follow-up of 21.4 months. Patient satisfaction in the chest wall perforator flap group was high, with 86.1% reporting favorable cosmetic outcomes.Conclusions: Chest wall perforator flap reconstruction offers complication and re-excision rates comparable to other surgical techniques, with excellent short-term oncologic safety and high patient satisfaction. They are a valuable option for selected patients undergoing breast-conserving surgery, particularly when tumor size or location limits the use of standard approaches.
PB Elsevier
SN 0039-6060
YR 2025
FD 2025-07-08
LK https://hdl.handle.net/20.500.14352/124349
UL https://hdl.handle.net/20.500.14352/124349
LA eng
NO Martín-Merino Acera MDR, Colmenarejo García E, Ferrero San Román C, Valdazo Gómez A, Sánchez Egido I, Latorre Marlasca L, Paseiro Crespo G. Breast reconstruction techniques with perforator flaps vs other surgical techniques in breast cancer. Surgery. 2025 Oct;186:109586. doi: 10.1016/j.surg.2025.109586. Epub 2025 Aug 6. PMID: 40774048.
DS Docta Complutense
RD 2 oct 2025