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. 2025 Apr;210(2):355-364.
doi: 10.1007/s10549-024-07571-9. Epub 2024 Dec 10.

Oncoplastic breast reconstruction with single-port laparoscopically harvested omental flap: insights from a ten-year tertiary center experience

K-H Yoon  1 , S-H Ahn  1 , H-C Shin  1 , H W Koh  1 , J K-H Park  2 , Y Myung  2 , J H Jeong  2 , C Y Heo  2 , E-K Kim  3
Affiliations

Oncoplastic breast reconstruction with single-port laparoscopically harvested omental flap: insights from a ten-year tertiary center experience

K-H Yoon et al. Breast Cancer Res Treat. 2025 Apr.

Abstract

Purpose: To evaluate the 10-year functional and oncological outcomes of single-port laparoscopically harvested omental flap (SLOF) for immediate breast reconstruction after breast cancer surgery. The technical feasibility and oncologic safety of breast reconstruction using a laparoscopically harvested omental flap remain controversial.

Methods: We examined 236 patients with breast cancer (including 2 patients with malignant phyllodes tumors) who underwent nipple-sparing mastectomy or breast-conserving surgery followed by immediate SLOF reconstruction between February 2015 and March 2024 at our institution. Short- and long-term outcomes were assessed. Cosmetic outcomes were evaluated using a three-panel assessment and the Seoul Breast Esthetic Scoring Tool and compared with those of a matched cohort of patients who underwent deep inferior epigastric perforator (DIEP) flap breast reconstruction.

Results: The rate of clinically significant complications of Clavien-Dindo grade IIIa or greater was 3.8% (9/236). Two patients with flap failure required flap removal and conversion to other reconstruction procedures. The cosmetic satisfaction rates were 82.5% and 76.4% in the SLOF and DIEP groups, respectively (P = 0.467). Over a median 59-month follow-up, the local, regional, and systemic recurrence rates were 3%, 2.1%, and 3%, respectively. All patients underwent annual screening for gastric cancer via esophagogastroduodenoscopy, and there were no cases of delayed flap removal due to gastrectomy.

Conclusions: Oncoplastic breast reconstruction using SLOF is safe and feasible. The natural contour and texture of the reconstructed breast and the nearly invisible scar at the abdominal single-port incision provide excellent cosmetic outcomes that are superior to those of other reconstruction methods.

Keywords: Breast cancer; Omental flap; Oncoplastic breast reconstruction.

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Conflict of interest statement

Declarations. Competing interests: The authors declare no competing interests. Ethical approval: The study received approval from the institutional review board of SNUBH (IRB No. B-2408–921-104) and was conducted in accordance with the Declaration of Helsinki. Consent to participate: Informed consent from the patients was waived by the ethics committee as only retrospective anonymous data was collected for the study.

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References

    1. DeSantis C, Siegel R, Bandi P, Jemal A (2011) Breast cancer statistics, 2011. CA Cancer J Clin 61(6):408–418. https://doi.org/10.3322/caac.20134 - DOI
    1. Kang MJ, Jung KW, Bang SH, Choi SH, Park EH, Yun EH et al (2023) Community of population-based regional cancer registries*. Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2020. Cancer Res Treat 55(2):385–399. https://doi.org/10.4143/crt.2023.447 - DOI - PubMed - PMC
    1. Hanson SE, Lei X, Roubaud MS, DeSnyder SM, Caudle AS, Shaitelman SF et al (2022) Long-term quality of life in patients with breast cancer after breast conservation vs mastectomy and reconstruction. JAMA Surg 157:e220631. https://doi.org/10.1001/jamasurg.2022.0631 - DOI - PubMed - PMC
    1. Rosenberg SM, Dominici LS, Gelber S, Poorvu PD, Ruddy KJ, Wong JS et al (2020) Association of breast cancer surgery with quality of life and psychosocial well-being in young breast cancer survivors. JAMA Surg 155(11):1035–1042. https://doi.org/10.1001/jamasurg.2020.3325 - DOI - PubMed
    1. Kiricuta I (1963) L’utilisation du grand épiploon dans la chirur-gie du cancer du sein. Press Med 71:15–17 - PubMed

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