Two modified surgical procedures for treating early XXXX in China.

@entity1 @entity0 @entity5 @entity344 @entity3
Conventional pedicled-flap based surgeries in treating @entity0 have their limitations. New surgical regimens are yet to be explored, which will follow the oncological principle of being "total @entity5 free", whilst fit into the unique characteristics of China's own medical system as well as @entity1 ' demand. From 2007 to 2013, 143 @entity1 with early @entity0 were included in the study, with the average age of 46.1 years. Fifty-three @entity1 were subjected to modified breast conserving surgery (MBCS)+latissimus dorsi (LD) flap reconstruction, 41 to skin sparing mastectomy (SSM)+implant+LD flap reconstruction, 29 to MBCS+distal transverse rectus abdominis myocutaneous (DTRAM) flap reconstruction, and 20 to SSM+DTRAM flap reconstruction. The results showed that out of the 143 @entity1 , there was no graft loss. Minor complications included 4 cases of fat liquefaction, and 6 cases of seratoma, which all resolved after conservative treatment. Five @entity1 had visible protuberance in the abdomen, but not leading to any @entity344 . The reconstructed breasts all presented good shape. 96.7% of the @entity1 were satisfied with the outcome. The follow-up period varied from 6 months to 60 months, and only one @entity1 died from @entity5 @entity3 in the brain. No local recurrence occurred. It was concluded that these two modified pedicled-flap surgeries are readily practical, and aesthetically satisfactory, with high applicability in China. They do not compromise the oncological outcomes, but also are well-accepted by Chinese @entity1 .
