title: The Clinical Application of Mastectomy With Single Incision Followed by Immediate Laparoscopic-Assisted Breast Reconstruction With Latissimus Dorsi Muscle Flap.
abstract: OBJECTIVE
  To explore the clinical application of mastectomy with single incision followed by immediate laparoscopic-assisted breast reconstruction with latissimus dorsi muscle flap.
  
  
  METHODS
  Fifteen women with primary early breast cancer, 3 women with breast ductal carcinoma in situ, and 7 women with severe plasma cell mastitis were treated with partial mastectomy or total mastectomy, sentinel lymph node biopsy, or axillary lymph node dissection through a breast lateral transverse incision. Subsequent breast reconstruction with latissimus dorsi muscle flap was assisted by laparoscopy. The patient's position, time used in dissecting latissimus dorsi muscle flap, size of latissimus dorsi muscle flap, postoperative complications, and the cosmetic results after reconstruction were assessed.
  
  
  RESULTS
  All the operations were well done through the breast lateral transverse incision and assistance of laparoscopy. The patient's position was changed only once during the operation. It took 1.5 to 2 hours to dissect latissimus dorsi muscle flap. The sizes of the latissimus dorsi muscle flap were 5 to 8 × 12 to 16 cm. There were no serious postoperative complications noted. The patients were satisfied with the appearance of the breasts and the small surgical scar.
  
  
  CONCLUSIONS
  The surgical approach introduced is minimally invasive with concealed scar and outstanding cosmetic results. It is worth promoting in clinical application.
authors.affiliation: 1 The Affiliated Ganzhou Hospital of Nanchang University, Ganzhou, Jiangxi, China.
authors.forename: Huozhong
authors.initials: H
authors.lastname: Yuan
authors.affiliation: 2 Nova Southeastern University, Fort Lauderdale, FL, USA.|3 Urologic Research Network, Hialeah, FL, USA.
authors.forename: Donghua
authors.initials: D
authors.lastname: Xie
authors.affiliation: 1 The Affiliated Ganzhou Hospital of Nanchang University, Ganzhou, Jiangxi, China.
authors.forename: Xigang
authors.initials: X
authors.lastname: Xiao
authors.affiliation: 1 The Affiliated Ganzhou Hospital of Nanchang University, Ganzhou, Jiangxi, China.
authors.forename: Xingwei
authors.initials: X
authors.lastname: Huang
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008197:Lymph Node Excision; D016462:Mammaplasty / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D008408:Mastectomy / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D008413:Mastitis / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications; D064171:Superficial Back Muscles / Q000601:surgery*; D013524:Surgical Flaps / Q000601:surgery*; D055815:Young Adult
keywords: laparoscopic; latissimus dorsi muscle flap; mastectomy; single incision