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国立がん研究センター 中央病院

Home > Clincal depts. > Department of Plastic and Reconstructive Surgery

Department of Plastic and Reconstructive Surgery

Shimpei Miyamoto, Masahide Fujiki, Masaki Arikawa, Yu Kagaya

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 the patient can be improved by functional and morphological reconstruction.

Routine activities

Two plastic surgeons cover reconstructive operations. Every week, five to ten reconstructive operations are performed. These reconstructive surgeries are performed in cooperation with the surgeons from other divisions of the hospital, such as Head and Neck Surgery, Breast Surgery, Orthopedic Surgery, Esophageal Surgery, and Dermatology. 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. Also, laboratory research of flow-through flaps using a rat model is ongoing.


Table 1. Reconstructive procedures Table 2. Breast reconstruction

List of papers published in 2015

Journal

  1. Miyamoto S, Kayano S, Fujiki M, Kamizono K, Fukunaga Y, Sakuraba M. Flow-through divided latissimus dorsi musculocutaneous flap for large extremity defects. Ann Plast Surg, 74:199-203, 2015
  2. Miyamoto S, Fukunaga Y, Fujiki M, Nakatni F, Tanzawa Y, Sakuraba M. Accompanying artery of sciatic nerve as recipient vessel for free-flap transfer: a computed tomographic angiography study and case reports. Microsurgery, 35:284-289, 2015
  3. Fujiki M, Miyamoto S, Arikawa M, Sakuraba M. Combined Use of Anterolateral Thigh and Gluteal Fold Flaps for Complex Groin Reconstruction. Plast Reconstr Surg Glob Open, 3:e541, 2015
  4. Fujiki M, Miyamoto S, Sakuraba M. Flow-through anastomosis for both the artery and vein in leg free flap transfer. Microsurgery, 35:536-540, 2015
  5. Miyamoto S, Fujiki M, Sakuraba M. Clinical analysis of 33 flowthrough latissimus dorsi flaps. J Plast Reconstr Aesthet Surg, 68:1425-1431, 2015
  6. Fujiki M, Miyamoto S, Nakatani F, Kawai A, Sakuraba M. Rotationplasty with vascular reconstruction for prosthetic knee joint infection. Case Rep Orthop, 2015:241405, 2015
  7. Miyamoto S, Fujiki M, Nakatani F, Sakisaka M, Sakuraba M. Free flow-through anterolateral thigh flap for complex knee defect including the popliteal artery. Microsurgery, 35:485-488, 2015