Annual Report 2019
Department of Plastic and Reconstructive Surgery
Satoshi Akazawa, 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.
The Team and What We Do
Six 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. Also, clinical research of flow-through anastomosis is ongoing.
Table 1. Reconstructive procedure
Table 2. Breast reconstruction
List of papers published in 2019
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
4. Miyamoto S, Arikawa M, Kagaya Y, Kageyama D, Fukunaga Y. Large-to-Small End-to-Side Venous Anastomosis in Free Flap Transfer. J Surg Res, 245:377-382, 2020
5. Kita Y, Fukunaga Y, Arikawa M, Kagaya Y, Miyamoto S. Anatomy of the arterial and venous systems of the superficial inferior epigastric artery flap: A retrospective study based on computed tomographic angiography. J Plast Reconstr Aesthet Surg, 73:870-875, 2020
6. Kagaya Y, Shiokawa I, Karasawa H, Ono K, Momosawa A. Nipple-Areolar Complex Position in Female-to-Male Transsexuals After Non-skin-excisional Mastectomy: A Case-Control Study in Japan. Aesthetic Plast Surg, 43:1195-1203, 2019