Annual Report 2022

Department of Plastic and Reconstructive Surgery

Satoshi Akazawa, Masaki Arikawa, Daisuke Kageyama

Introduction

 The Department of Plastic and Reconstructive Surgery mainly focuses on surgical reconstruction after cancer ablation. Reconstructive procedures using free flap transfer with microvascular anastomosis are the most important operations in our institution. 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

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

Table 1. Number of reconstructive surgeries by procedure

Table 2. Number of breast reconstruction surgeries by procedure

List of papers published in 2022

Journal

1. Eguchi K, Omura G, Shimoi T, Kageyama D, Igaki H, Abe Y, Watanabe T, Aihara Y, Sakai A, Matsumoto Y, Sakai T, Yonemori K, Mori T, Yoshida A, Yoshimoto S. BCOR-CCNB3 sarcoma arising in the pharynx. Auris, nasus, larynx, 50:618-622, 2023

2. Arikawa M, Akazawa S, Kageyama D, Kawai A, Miyamoto S. Soft Tissue Reconstruction Using the Free Forearm Fillet Flap in the Salvage of Forequarter Amputations for Recurrent Sarcoma: A Report of 2 Cases. Annals of plastic surgery, 90:334-338, 2023

3. Arikawa M, Akazawa S, Kagaya Y, Kawai A, Miyamoto S. Free Flap Reconstruction of Oncologic Gluteal Defects. Annals of plastic surgery, 88:420-424, 2022

4. Miyamoto S, Fukunaga Y, Arikawa M, Fujisawa K, Okazaki M. Crescent-shaped skin paddle for a fibular flap: Avoiding skin grafting at the donor site. Head & neck, 44:1742-1746, 2022

5. Tomioka Y, Sekino M, Gu J, Kurita M, Yamashita S, Miyamoto S, Iida T, Kanayama K, Yoshimura K, Nakagawa M, Akazawa S, Kagaya Y, Tanaka K, Sunaga Y, Ueda K, Kawahara T, Tahara Y, Okazaki M. Wearable, wireless, multi-sensor device for monitoring tissue circulation after free-tissue transplantation: a multicentre clinical trial. Scientific reports, 12:16532, 2022