title: [Immediate breast reconstruction using laparoscopically harvested omental flap after breast-conserving surgery].
abstract: OBJECTIVE
  To report our primary experience with immediate breast reconstruction using laparoscopically harvested omental flap after breast-conserving surgery. The safety, feasibility, and clinical effect are also evaluated.
  
  
  METHODS
  From Jun. 2010 to Jan. 2011, 5 cases who underwent immediate breast reconstruction using laparoscopically harvested omental flap after breast-conserving surgery were retrospectively analyzed. The operative duration, postoperative days in hospital, complication and therapeutic effect were reviewed.
  
  
  RESULTS
  All the patients were treated successfully without laparotomy. The average operative duration was 310 min, including 60 min for harvesting the omental flap. The median postoperative days in hospital was 8 days (ranged, 5-9 days). One case complained of slight pulled feeling in upper abdomen. No other complication happened. The cosmetic result of reconstructed breasts was satisfactory.
  
  
  CONCLUSIONS
  The immediate breast reconstruction using laparoscopically harvested omental flap is safe and feasible with less morbidity in donor sites and good cosmetic effect. It is one of the ideal methods for immediate breast reconstruction.
authors.affiliation: Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, China.
authors.forename: Xiang-Yang
authors.initials: XY
authors.lastname: Song
authors.forename: Dan-Dan
authors.initials: DD
authors.lastname: Guan
authors.forename: Hui
authors.initials: H
authors.lastname: Lin
authors.forename: Yi
authors.initials: Y
authors.lastname: Dai
authors.forename: Xue-Yong
authors.initials: XY
authors.lastname: Zheng
authors.forename: Yi-Ping
authors.initials: YP
authors.lastname: Zhu
authors.forename: Xian-Fa
authors.initials: XF
authors.lastname: Wang
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D016462:Mammaplasty / Q000379:methods*; D015412:Mastectomy, Segmental; D008875:Middle Aged; D009852:Omentum / Q000637:transplantation*; D011184:Postoperative Period; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome