References

bioph

Biomedical Photonics

2413-9432

Non-profit partnership for development of domestic photodynamic therapy and photodiagnosis

10.24931/2413-9432-2018-7-3-29-35

bioph-250

Research Article

ОРИГИНАЛЬНЫЕ СТАТЬИ

ORIGINAL ARTICLES

Биологические материалы в реконструктивной хирургии рака молочной железы

Biological materials in breast cancer reconstructive surgery

Зикиряходжаев

А. Д.

Zikiryahodjaev

A. D.

Ермощенкова

М. В.

Ermoshchenkova

M. V.

maryerm@mail.ru

Чиссов

В. И.

Chissov

V. I.

Широких

И. М.

Shirokih

I. M.

МНИОИ им. П.А. Герцена – филиал Национального медицинского исследовательского центра радиологии МЗ РФ; Первый Московский государственный медицинский университет им. И.М. Сеченова МЗ РФ; Российский университет дружбы народовРоссияP.Herzen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Center of the Ministry of Health of the Russian Federation; The First Sechenov Moscow State Medical University under Ministry of Health of the Russian Federation; Peoples Friendship University of RussiaRussian Federation

МНИОИ им. П.А. Герцена – филиал Национального медицинского исследовательского центра радиологии МЗ РФ; Первый Московский государственный медицинский университет им. И.М. Сеченова МЗ РФРоссияP.Herzen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Center of the Ministry of Health of the Russian Federation; The First Sechenov Moscow State Medical University under Ministry of Health of the Russian FederationRussian Federation

Российский университет дружбы народовРоссияPeoples Friendship University of RussiaRussian Federation

2018

10102018

732935

2018

Зикиряходжаев А.Д., Ермощенкова М.В., Чиссов В.И., Широких И.М.

Zikiryahodjaev A.D., Ermoshchenkova M.V., Chissov V.I., Shirokih I.M.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.pdt-journal.com/jour/article/view/250

В настоящее время реконструктивно-пластические операции становятся стандартным вариантом при хирургическом и комбинированном лечении больных раком молочной железы (РМЖ). При одномоментной реконструкции молочной железы актуальным становится применение биологических имплантатов, способных заменить мышечные аутотрансплантаты и, следовательно, сократить травматичность, кровопотерю и время операции, а также избежать дефектов донорских зон. С 2014 по 2017 гг. в МНИОИ им. П.А. Герцена выполнена 151 реконструктивная операция у 121 больной РМЖ (средний возраст 41,5 лет) с применением синтетических и биологических материалов. 0 стадия РМЖ TisN0M0 была диагностирована у 11 (9,1%) больных, I стадия – у 52 (42,9%), IIA– у 41 (33,9%), IIB – у 9 (7,4%), IIIA — у 4 (3,3%), IIIB – у 2 (1,7%), IIIC – у 2 (1,7%). С целью укрепления нижнего склона в 34 случаях был использован биологический имплантат — ацеллюлярный дермальный матрикс Permacol. Отличные косметические результаты отмечены в 20 (58,9%) случаях, хорошие – в 11 (32,3%), неудовлетворительные – в 3 (8,8%). Биологические материалы являются важным дополнением к различным вариантам реконструкции молочной железы. Критерием выбора материала для укрепления нижнего склона молочной железы при подкожной или кожесохранной мастэктомии по поводу рака с одномоментной реконструкцией силиконовым эндопротезом является величина pinch-теста.

Currently, reconstructive-plastic surgery is becoming the standard for surgical and combined treatment of breast cancer (BC) patients.

With a one-stage reconstruction of the breast, the use of biological implants that can replace muscle autografts and, consequently, reduce trauma, blood loss and operation time, and also to avoid defects in the donor zones is becoming topical. From 2014 to 2017, 151 reconstructive operations on 121 patients with BC (average age 41.5 years) using synthetic and biological materials were carried out in P.Herzen Moscow Oncology Research Institute. 0 stage of BC TisN0M0 was diagnosed in 11 (9.1%) patients, I stage – in 52 (42.9%), IIA – in 41 (33.9%), IIB – in 9 (7.4%), IIIA – in 4 (3.3%), IIIB – in 2 (1.7%), IIIC – in 2 (1.7%). To strengthen the lower slope, a biological implant – Permacol acellular dermal matrix, was used in 34 cases. Cosmetic result was rated as excellent in 20 (58.9%) cases, good in 11 (32.3%), unsatisfactory in 3 (8,8%). Biological materials are an important addition to various options for breast reconstruction. The criterion for selecting the material for strengthening the lower slope of the breast with subcutaneous or cutaneous mastectomy for cancer with a one-stage reconstruction using a silicone endoprosthesis is the pinch-test value.

рак молочной железыреконструктивные операции при раке молочной железыацеллюлярный дермальный матриксбиологический имплантат

breast cancerbreast cancer reconstructive surgeryacellular dermal matrixbiological implantbiological implant

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The authors declare that there are no conflicts of interest present.