Publications by authors named "Yuan-Chieh Lai"
Article Synopsis
- The study introduces a new "scarless" technique for implanting Totally Implantable Venous Access Ports (TIVAP) in breast cancer patients, aimed at preserving cosmetic results after surgery.
- A total of 125 patients underwent the procedure with a 100% success rate, a mean operation time of 46 minutes, and low blood loss, while also showing a significant decrease in operation time after the initial learning phase.
- Patient feedback indicated over 90% satisfaction with aesthetic outcomes and the overall surgical experience, suggesting that the scarless technique is a safe and effective alternative for those needing chemotherapy with minimal scarring.
Article Synopsis
- Breast reconstruction after mastectomy can significantly enhance the quality of life for breast cancer patients and is often performed by a dual-trained oncoplastic reconstructive breast surgeon (ORBS) alongside breast surgeons.
- The study reviewed 542 patients treated with reconstruction by an ORBS, revealing high satisfaction rates (95%) and low implant loss (1.2%), indicating successful outcomes and improved skills over time.
- Factors influencing the likelihood of undergoing reconstruction included younger age, the use of MRI, nipple-sparing mastectomy, and experiences with high-volume surgeons.
Background: The purpose of this study is to identify clinicopathologic factors and/or preoperative MRI vascular patterns in the prediction of ischemia necrosis of the nipple-areola complex (NAC) or skin flap post nipple-sparing mastectomy (NSM).
Methods: We performed a retrospective analysis of 441 NSM procedures from January 2011 to September 2021 from the breast cancer database at our institution. The ischemia necrosis of NAC or skin flap was evaluated in correlation with clinicopathologic factors and types of skin incision.