Редкие аутологичные лоскуты в реконструкции молочной железы: обзор литературы

Цель исследования: провести анализ имеющихся в современной литературе данных о клинической эффективности, показаниях к применению и потенциальных осложнениях редких видов лоскутов, применяемых в хирургической реконструкции молочной железы.

Материал и методы. Поиск источников информации проводился в базах Clinicaltrials.gov, PubMed, Medline, NCCN, Scopus, eLibrary, Cochrane Library. Поиск осуществляли с использованием ключевых слов и их комбинаций: «реконструкция молочной железы («breast reconstruction»), «редкие лоскуты» (“rare flaps”), SIEA, TMG/TUG, GAP, PAP, LTP/LAP. В написании обзора литературы было использовано 48 источников, опубликованных в период с 1971 по 2025 г.

Результаты. Реконструкция молочной железы с использованием редких аутологичных лоскутов (SIEA, TMG, GAP, PAP, LTP) представляет собой важную альтернативу для пациенток, у которых стандартные методы, такие как DIEP или TRAM, неприменимы из-за анатомических ограничений, ожирения или рубцовых изменений.

Заключение. Настоящий обзор демонстрирует, что редкие аутологичные лоскуты не только расширяют хирургические возможности, но и обеспечивают удовлетворительные эстетические и функциональные результаты, сопоставимые с таковыми при использовании стандартных методик.

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