Annual Report 2020

Department of Plastic and Reconstructive Surgery

Satoshi Akazawa, Masaki Arikawa, Daisuke Kageyama

Introduction

 The Department of Plastic and Reconstructive Surgery has mainly focused on surgical reconstruction after cancer ablation. In our institution, reconstructive procedures using free flap transfer with microvascular anastomosis are the most important operations. In addition, several methods such as tissue transfer with pedicled flaps, local flaps, skin grafts, and so forth, are used for reconstructive surgery. The objectives of reconstructive surgery are not only morphological reconstruction, but also restoration of postoperative functions after ablative surgery. The quality of life (QOL) of patients can be improved by functional and morphological reconstruction.

The Team and What We Do

 Seven plastic surgeons cover reconstructive operations. Every week, five to ten reconstructive operations are performed. These reconstructive surgeries are performed in cooperation with surgeons from other departments of the hospital, such as Head and Neck Oncology, Breast Surgery, Musculoskeletal Oncology and Rehabilitation, Esophageal Surgery, and Dermatologic Oncology. The number of patients who receive immediate breast reconstruction is increasing. Most patients undergo breast reconstruction with a silicone implant. Limb reconstruction after limb preservation surgery has increased.

Research activities

 Multi-institutional analysis of postoperative functions after microvascular tongue reconstruction is ongoing.

Table 1. Reconstructive procedure

Table 2. Breast reconstruction

List of papers published in 2020

Journal

1. Kagaya Y, Arikawa M, Sekiyama T, Akazawa S. Boomerang-shaped Lateral-to-back Flap Utilizing Multiple Thoracodorsal Artery Perforators around the Lateral Border of Latissimus Dorsi Muscle for Reconstruction of Large Circular Defect. Plast Reconstr Surg Glob Open, 8:e2644, 2020

2. Kagaya Y, Arikawa M, Higashino T, Miyamoto S. Autologous abdominal wall reconstruction using anterolateral thigh and iliotibial tract flap after extensive tumor resection: A case series study of 50 consecutive cases. J Plast Reconstr Aesthet Surg, 73:638-650, 2020

3. Miyamoto S, Arikawa M, Kagaya Y. The use of lower abdominal perforator flaps in soft-tissue reconstruction after sarcoma resection. Microsurgery, 40:353-360, 2020