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2000
Volume 21, Issue 1
  • ISSN: 1573-4056
  • E-ISSN: 1875-6603
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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.

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.
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2025-01-02
2025-09-05
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References

  1. ChoiJ.E. KimZ. ParkC.S. ParkE.H. LeeS.B. LeeS.K. ChoiY.J. HanJ. JungK.W. KimH.J. KimH.A. Korean Breast Cancer Society Breast cancer statistics in Korea, 2019.J. Breast Cancer202326320722010.4048/jbc.2023.26.e2737387348
    [Google Scholar]
  2. KayaB. SerelS. Breast reconstruction.Exp. Oncol.201335428028624382438
    [Google Scholar]
  3. KiricutaI. The use of the great omentum in the surgery of breast cancer.Presse Med.19637171151714032989
    [Google Scholar]
  4. ZahaH. InamineS. NaitoT. NomuraH. Laparoscopically harvested omental flap for immediate breast reconstruction.Am. J. Surg.2006192455655810.1016/j.amjsurg.2006.06.03016978975
    [Google Scholar]
  5. LiuH. HeX. LiL. WanN.B. Laparoscopically harvested omental flap for immediate breast reconstruction: A retrospective single-center study of 300 cases.World J. Surg. Oncol.20242219710.1186/s12957‑024‑03377‑738622606
    [Google Scholar]
  6. HallJ.C. HeelK.A. PapadimitriouJ.M. PlatellC. The pathobiology of peritonitis.Gastroenterology1998114118519610.1016/S0016‑5085(98)70646‑89428232
    [Google Scholar]
  7. HernandezJ.A. StranixJ.T. Piwnica-WormsW. AzouryS.C. KozakG.M. GrimmJ.C. VallabhajosyulaP. FischerJ.P. KovachS.J. Omental flap coverage for management of thoracic aortic graft infection.Ann. Thorac. Surg.202010961845184910.1016/j.athoracsur.2019.09.04131697905
    [Google Scholar]
  8. NishimuraT. KanehiraE. TsukataniT. FurukawaM. Laparoscopically harvested omental flap for head and neck reconstruction.Laryngoscope2002112593093210.1097/00005537‑200205000‑0002812150631
    [Google Scholar]
  9. GuanD. LinH. LvZ. XinY. MengK. SongX. The oncoplastic breast surgery with pedicled omental flap harvested by laparoscopy: Initial experiences from China.World J. Surg. Oncol.20151319510.1186/s12957‑015‑0514‑925884817
    [Google Scholar]
  10. JimenezA.G. GermainP.S. SiroisM. HathewayM. LethbridgeR. Free omental flap for skin-sparing breast reconstruction harvested laparoscopically.Plast. Reconstr. Surg.2002110254555110.1097/00006534‑200208000‑0002812142675
    [Google Scholar]
  11. van AlphenT.C. FechnerM.R. SmitJ.M. SlooterG.D. BroekhuysenC.L. The laparoscopically harvested omentum as a free flap for autologous breast reconstruction.Microsurgery201737653954510.1002/micr.3012627783425
    [Google Scholar]
  12. CostanzoD. KlingerM. LisaA. MaioneL. BattistiniA. VinciV. The evolution of autologous breast reconstruction.Breast J.202026112223222510.1111/tbj.1402532909653
    [Google Scholar]
  13. ShenG. YangY. HuangM. DingX. LiN. YuX. Immediate breast reconstruction with laparoscopically harvested omental flap: A retrospective analysis with a maximum 12-year follow-up.Surg. Today202454218619410.1007/s00595‑023‑02718‑537516998
    [Google Scholar]
  14. KimE.K. ChaeS. AhnS.H. Single-port laparoscopically harvested omental flap for immediate breast reconstruction.Breast Cancer Res. Treat.2020184237538410.1007/s10549‑020‑05848‑332766951
    [Google Scholar]
  15. NiemanK.M. KennyH.A. PenickaC.V. LadanyiA. Buell-GutbrodR. ZillhardtM.R. RomeroI.L. CareyM.S. MillsG.B. HotamisligilG.S. YamadaS.D. PeterM.E. GwinK. LengyelE. Adipocytes promote ovarian cancer metastasis and provide energy for rapid tumor growth.Nat. Med.201117111498150310.1038/nm.249222037646
    [Google Scholar]
  16. MukherjeeA. BileczA.J. LengyelE. The adipocyte microenvironment and cancer.Cancer Metastasis Rev.202241357558710.1007/s10555‑022‑10059‑x35941408
    [Google Scholar]
  17. NiC. ZhuZ. XinY. XieQ. YuanH. ZhongM. XiaW. ZhuX. LvZ. SongX. Oncoplastic breast reconstruction with omental flap: A retrospective study and systematic review.J. Cancer20189101782179010.7150/jca.2555629805704
    [Google Scholar]
  18. ZhangL. MohamedA.A. ChaiR. GuoY. ZhengB. WuS. Automated deep learning method for whole‐breast segmentation in diffusion‐weighted breast MRI.J. Magn. Reson. Imaging202051263564310.1002/jmri.2686031301201
    [Google Scholar]
  19. TakahashiM. TakenagaT. NomuraY. HanaokaS. HayashiN. NemotoM. NakaoT. MikiS. YoshikawaT. KobayashiT. AbeS. Automated volume measurement of abdominal adipose tissue from entire abdominal cavity in Dixon MR images using deep learning.Radiological Phys. Technol.2023161283810.1007/s12194‑022‑00687‑x36344662
    [Google Scholar]
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  • Article Type:
    Case Report
Keyword(s): Breast cancer; Breast reconstruction; Laparoscopy; Mastectomy; MRI; Omental flap; Patients
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