Skip to content
2000
  1. Home
  2. A-Z Publications
  3. Current Medical Imaging
  4. Fast Track Articles
  5. Fast Track Article
image of Breast Reconstruction Using Laparoscopically Harvested Pedicled Omental Flap: Imaging Findings and a Case of Recurrence Among Eight Patients
file format pdf download PDF

Abstract

Background:

Laparoscopically Harvested Pedicled Omental Flap [LHPOF] has become a viable option for breast reconstruction due to advancements in minimally invasive techniques, offering benefits like reduced postoperative pain and minimal scarring.

Case Presentation:

This study examines the imaging findings in eight patients who underwent breast reconstruction using a LHPOF. Imaging modalities, including mammography, ultrasonography, MRI, and CT, consistently showed reconstructed breasts with fat replacing glandular tissue and numerous internal vessels. One case of recurrence was detected, demonstrating the efficacy of conventional surveillance imaging studies in facilitating the detection of recurrences.

Conclusion:

This is the first report detailing imaging findings of breast reconstruction using an LHPOF, including a recurrence case. Understanding these imaging results is crucial for effective surveillance in breast cancer patients with omental flap reconstruction.

© 2024 The Author(s). Published by Bentham Science.
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Loading

Article metrics loading...

/content/journals/cmir/10.2174/0115734056359849241226055644
2025-01-02
2025-01-18

  • From This Site

    /content/journals/cmir/10.2174/0115734056359849241226055644
    dcterms_title,dcterms_subject,pub_keyword
    -contentType:Contributor -contentType:Concept -contentType:Institution
    10
    5
Loading full text...

Full text loading...

/deliver/fulltext/cmir/10.2174/0115734056359849241226055644/e15734056359849.html?itemId=/content/journals/cmir/10.2174/0115734056359849241226055644&mimeType=html&fmt=ahah

References

  1. Choi J.E. Kim Z. Park C.S. Park E.H. Lee S.B. Lee S.K. Choi Y.J. Han J. Jung K.W. Kim H.J. Kim H.A. Korean Breast Cancer Society Breast cancer statistics in Korea, 2019. J. Breast Cancer 2023 26 3 207 220 10.4048/jbc.2023.26.e27 37387348
    [Google Scholar]
  2. Kaya B. Serel S. Breast reconstruction. Exp. Oncol. 2013 35 4 280 286 24382438
    [Google Scholar]
  3. Kiricuta I. The use of the great omentum in the surgery of breast cancer. Presse Med. 1963 71 71 15 17 14032989
    [Google Scholar]
  4. Zaha H. Inamine S. Naito T. Nomura H. Laparoscopically harvested omental flap for immediate breast reconstruction. Am. J. Surg. 2006 192 4 556 558 10.1016/j.amjsurg.2006.06.030 16978975
    [Google Scholar]
  5. Liu H. He X. Li L. Wan N.B. Laparoscopically harvested omental flap for immediate breast reconstruction: A retrospective single-center study of 300 cases. World J. Surg. Oncol. 2024 22 1 97 10.1186/s12957‑024‑03377‑7 38622606
    [Google Scholar]
  6. Hall J.C. Heel K.A. Papadimitriou J.M. Platell C. The pathobiology of peritonitis. Gastroenterology 1998 114 1 185 196 10.1016/S0016‑5085(98)70646‑8 9428232
    [Google Scholar]
  7. Hernandez J.A. Stranix J.T. Piwnica-Worms W. Azoury S.C. Kozak G.M. Grimm J.C. Vallabhajosyula P. Fischer J.P. Kovach S.J. Omental flap coverage for management of thoracic aortic graft infection. Ann. Thorac. Surg. 2020 109 6 1845 1849 10.1016/j.athoracsur.2019.09.041 31697905
    [Google Scholar]
  8. Nishimura T. Kanehira E. Tsukatani T. Furukawa M. Laparoscopically harvested omental flap for head and neck reconstruction. Laryngoscope 2002 112 5 930 932 10.1097/00005537‑200205000‑00028 12150631
    [Google Scholar]
  9. Guan D. Lin H. Lv Z. Xin Y. Meng K. Song X. The oncoplastic breast surgery with pedicled omental flap harvested by laparoscopy: Initial experiences from China. World J. Surg. Oncol. 2015 13 1 95 10.1186/s12957‑015‑0514‑9 25884817
    [Google Scholar]
  10. Jimenez A.G. Germain P.S. Sirois M. Hatheway M. Lethbridge R. Free omental flap for skin-sparing breast reconstruction harvested laparoscopically. Plast. Reconstr. Surg. 2002 110 2 545 551 10.1097/00006534‑200208000‑00028 12142675
    [Google Scholar]
  11. van Alphen T.C. Fechner M.R. Smit J.M. Slooter G.D. Broekhuysen C.L. The laparoscopically harvested omentum as a free flap for autologous breast reconstruction. Microsurgery 2017 37 6 539 545 10.1002/micr.30126 27783425
    [Google Scholar]
  12. Costanzo D. Klinger M. Lisa A. Maione L. Battistini A. Vinci V. The evolution of autologous breast reconstruction. Breast J. 2020 26 11 2223 2225 10.1111/tbj.14025 32909653
    [Google Scholar]
  13. Shen G. Yang Y. Huang M. Ding X. Li N. Yu X. Immediate breast reconstruction with laparoscopically harvested omental flap: A retrospective analysis with a maximum 12-year follow-up. Surg. Today 2024 54 2 186 194 10.1007/s00595‑023‑02718‑5 37516998
    [Google Scholar]
  14. Kim E.K. Chae S. Ahn S.H. Single-port laparoscopically harvested omental flap for immediate breast reconstruction. Breast Cancer Res. Treat. 2020 184 2 375 384 10.1007/s10549‑020‑05848‑3 32766951
    [Google Scholar]
  15. Nieman K.M. Kenny H.A. Penicka C.V. Ladanyi A. Buell-Gutbrod R. Zillhardt M.R. Romero I.L. Carey M.S. Mills G.B. Hotamisligil G.S. Yamada S.D. Peter M.E. Gwin K. Lengyel E. Adipocytes promote ovarian cancer metastasis and provide energy for rapid tumor growth. Nat. Med. 2011 17 11 1498 1503 10.1038/nm.2492 22037646
    [Google Scholar]
  16. Mukherjee A. Bilecz A.J. Lengyel E. The adipocyte microenvironment and cancer. Cancer Metastasis Rev. 2022 41 3 575 587 10.1007/s10555‑022‑10059‑x 35941408
    [Google Scholar]
  17. Ni C. Zhu Z. Xin Y. Xie Q. Yuan H. Zhong M. Xia W. Zhu X. Lv Z. Song X. Oncoplastic breast reconstruction with omental flap: A retrospective study and systematic review. J. Cancer 2018 9 10 1782 1790 10.7150/jca.25556 29805704
    [Google Scholar]
  18. Zhang L. Mohamed A.A. Chai R. Guo Y. Zheng B. Wu S. Automated deep learning method for whole‐breast segmentation in diffusion‐weighted breast MRI. J. Magn. Reson. Imaging 2020 51 2 635 643 10.1002/jmri.26860 31301201
    [Google Scholar]
  19. Takahashi M. Takenaga T. Nomura Y. Hanaoka S. Hayashi N. Nemoto M. Nakao T. Miki S. Yoshikawa T. Kobayashi T. Abe S. Automated volume measurement of abdominal adipose tissue from entire abdominal cavity in Dixon MR images using deep learning. Radiological Phys. Technol. 2023 16 1 28 38 10.1007/s12194‑022‑00687‑x 36344662
    [Google Scholar]
/content/journals/cmir/10.2174/0115734056359849241226055644
Loading
Breast Reconstruction Using Laparoscopically Harvested Pedicled Omental Flap: Imaging Findings and a Case of Recurrence Among Eight Patients
Bentham Science Publishers , e15734056359849; https://doi.org/10.2174/0115734056359849241226055644
/content/journals/cmir/10.2174/0115734056359849241226055644
/content/journals/cmir/10.2174/0115734056359849241226055644
Loading

Data & Media loading...


  • Article Type:     Case Report
Keywords: Mastectomy ; Breast cancer ; Breast reconstruction ; Omental flap ; Laparoscopy

Most Cited Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test