Abstract：
BACKGROUND: Breast reconstruction after cancer surgery through lipomodeling can be performed alone or in combination with a flap. Our objective is to describe the proportion of techniques used on patients who underwent autologous reconstructive surgery after tumorectomy or mastectomy in Franche-Comté.
METHODS: A bicentric retrospective observational study was conducted between October 2017 and December 2021 (NCT06101732), including three groups: those who underwent exclusive lipomodeling reconstruction after mastectomy (1) or in addition to a flap (2), and those who underwent exclusive lipomodeling reconstruction after tumorectomy (3). Socio-demographic, medical, and surgical data were collected and recorded in a specially designed software.
RESULTS: Two hundred and fifty-one lipomodeling procedures were performed on 91 patients. In group 1, the average transferred volume was 1191mL with an average number of sessions of 4.4 spreads over 19.4months. In group 2, the average transferred volume was 676mL with an average operative time of 2.5 spread over 16.1months. In group 3, the average transferred volume was 223mL with an average number of sessions of 1.5 spreads over 6.2months. Regarding postoperative complications, 11% had cysts of fat necrosis, 4.4% had infections, and 2.2% had hematomas.
CONCLUSIONS: Lipomodeling is a technique that has clearly established itself in the field of breast reconstructive surgery. It results in a few complications and improves the final aesthetic outcome whether used exclusively or in addition to a flap.
METHODS: A bicentric retrospective observational study was conducted between October 2017 and December 2021 (NCT06101732), including three groups: those who underwent exclusive lipomodeling reconstruction after mastectomy (1) or in addition to a flap (2), and those who underwent exclusive lipomodeling reconstruction after tumorectomy (3). Socio-demographic, medical, and surgical data were collected and recorded in a specially designed software.
RESULTS: Two hundred and fifty-one lipomodeling procedures were performed on 91 patients. In group 1, the average transferred volume was 1191mL with an average number of sessions of 4.4 spreads over 19.4months. In group 2, the average transferred volume was 676mL with an average operative time of 2.5 spread over 16.1months. In group 3, the average transferred volume was 223mL with an average number of sessions of 1.5 spreads over 6.2months. Regarding postoperative complications, 11% had cysts of fat necrosis, 4.4% had infections, and 2.2% had hematomas.
CONCLUSIONS: Lipomodeling is a technique that has clearly established itself in the field of breast reconstructive surgery. It results in a few complications and improves the final aesthetic outcome whether used exclusively or in addition to a flap.
摘要：
背景：癌症手术后通过脂肪模型进行的乳房重建可以单独或与皮瓣联合进行。我们的目的是描述在Franche-Comté进行肿瘤切除术或乳房切除术后接受自体重建手术的患者所使用的技术比例。
方法：2017年10月至2021年12月进行了一项双中心回顾性观察研究（NCT06101732），包括三组：那些在乳房切除术后（1）或除了皮瓣（2），进行了专有的脂肪模型重建，和那些在肿瘤切除术后接受了独特的脂肪模型重建的人（3）。社会人口学，medical,和手术数据收集并记录在专门设计的软件中。
结果：对91例患者进行了250次脂肪模型化手术。在第1组中，平均转移量为1191mL，在19.4个月内的平均疗程为4.4个疗程。在第2组中，平均转移体积为676mL，平均手术时间为2.5，分布在16.1个月内。在第3组中，平均转移量为223mL，在6.2个月内平均次数为1.5次。关于术后并发症，11%有脂肪坏死囊肿,4.4%有感染，2.2%有血肿。
结论：Lippomodeling是一种在乳房重建手术领域已明确确立的技术。无论是单独使用还是除了皮瓣之外，它都会导致一些并发症，并改善最终的美学效果。
方法：2017年10月至2021年12月进行了一项双中心回顾性观察研究（NCT06101732），包括三组：那些在乳房切除术后（1）或除了皮瓣（2），进行了专有的脂肪模型重建，和那些在肿瘤切除术后接受了独特的脂肪模型重建的人（3）。社会人口学，medical,和手术数据收集并记录在专门设计的软件中。
结果：对91例患者进行了250次脂肪模型化手术。在第1组中，平均转移量为1191mL，在19.4个月内的平均疗程为4.4个疗程。在第2组中，平均转移体积为676mL，平均手术时间为2.5，分布在16.1个月内。在第3组中，平均转移量为223mL，在6.2个月内平均次数为1.5次。关于术后并发症，11%有脂肪坏死囊肿,4.4%有感染，2.2%有血肿。
结论：Lippomodeling是一种在乳房重建手术领域已明确确立的技术。无论是单独使用还是除了皮瓣之外，它都会导致一些并发症，并改善最终的美学效果。
