Acellular bovine pericardium matrix in immediate breast reconstruction compared with conventional implant-based breast reconstruction

作者：S. Wang, Shanshan He, X. Zhang, Jianjun Sun, Qingfeng Huang, J. Liu, Chunyong Han, Zhenzhen Yin, Bowen Ding, Jian Yin · 发表于：JPRAS Open · 年份：2021 · DOI：10.1016/j.jpra.2021.03.005 · 被引用次数：10 · 研究领域：Breast Implant and Reconstruction、Reconstructive Surgery and Microvascular Techniques、Tissue Engineering and Regenerative Medicine

Acellular Bovine Pericardium Matrix (ABPM) is a new material in implant-based breast reconstruction (IBBR). Few studies have reported on its outcome and complications worldwide and most studies were without a control group. Our aim was to compare its use in IBBR with the other two conventional implant-based reconstruction methods. A retrospective review of patients undergoing IBBR from January to December 2018 was performed. Patients were assigned to the ABPM-assisted IBBR (group A), latissimus dorsi-assisted IBBR (group B) and two-stage IBBR (group C). Patients’ post-operative complications, cost-effectiveness and Quality of Life were compared. 100 patients with 100 breasts were included in the study. No complications occurred in group C (n = 11). No significant differences were noted between group A (n = 44) and group B (n = 45) in terms of overall complications (9.1% vs 11.1%, p = 0.973). Group B had the longest operative duration (310.8 ± 62.3 min, p<0.001). The cost of hospitalization forthe three groups was $8051.3 ± 849.2, $7566.0 ± 1172.7 and $7896.5 ± 1762.2, respectively (p = 0.128). The postoperative Breast-Q scores were similar across the three groups. ABPM demonstrated acceptable complication rates, cost-effectiveness and quality of life outcomes when compared to LD-assisted IBBR and two-stage IBBR.