Comparative Analysis of Local Breast Tissue Flap Techniques for Reconstruction Following Centro-Partial Breast-Conserving Surgery: A Clinical and Oncological Evaluation | ||
| Aswan University Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 28 September 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aumj.2025.421815.1255 | ||
| Authors | ||
| Yasser Rayan1; Mohamed salah aboelhassan* 2; mansor mohammed kabbash3; Anwar Abdo Elshenawy4 | ||
| 1General Surgery department, faculty of medicine, Aswan University | ||
| 2general surgery department faculty of medicine Aswan university | ||
| 3General Surgery department, Faculty of Medicine – Aswan University,Aswan, Egypt | ||
| 4Department of surgical oncology, Faculty of Medicine - Aswan University | ||
| Abstract | ||
| Abstract Background: Breast-conserving surgery (BCS) is the standard of care for early-stage breast cancer, but large resections may compromise cosmetic outcomes, particularly in women with small breast volumes. Local perforator-based flaps represent a muscle-sparing option for volume replacement. Objective: To compare clinical, oncological, and cosmetic outcomes of different local perforator flaps—AICAP/MICAP, LICAP, LTAP, and combined LICAP+LTAP—after centro-partial BCS. Methods: A prospective study of 69 patients undergoing centro-partial BCS with immediate local perforator flap reconstruction was performed. Patient demographics, tumor characteristics, surgical data, complications, and patient-reported satisfaction (5-point Likert scale) were analyzed across flap groups. Results: No significant differences were found among flap groups regarding age, comorbidities, tumor size, operative duration, complications, or patient satisfaction (p > 0.05). Significant associations were observed only for tumor location (p < 0.05) and bra cup size (p < 0.05), reflecting flap selection preferences. All flap types achieved satisfactory clinical and cosmetic outcomes with low complication and reoperation rates. Conclusion: Local perforator flaps provide safe, reliable, and muscle-preserving reconstruction following centro-partial BCS. Flap choice is primarily determined by tumor location and breast anatomy rather than differences in outcomes. | ||
| Keywords | ||
| oncoplastic breast surgery; perforator flap; LICAP; LTAP; AICAP | ||
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