Latissimus dorsi flap – the main force in breast reconstruction for breast tumor in Chinese population

Background The latissimus dorsi flap (LDF) is the most commonly used autologous for breast reconstruction (BR) in China. We conducted this study to explore current status of BR using LDF with/without implants. Methods This was a single-center retrospective that included tumor patients who underwent at Fudan University Shanghai Cancer Center (FUSCC) between 2000 and 2021. Results analyzed 4918 postmastectomy BR, including 1730 (35.2%) with flaps. 1093 (22.2%) patients, an abdominal 637 (13.0%) patients. proportion LDFs decreased each year dropped approximately 65.0% after 2013 due increased use Among these 609 extended (ELDF) 455 implants, 30 received as salvage previous or implant failure. Patients ELDF were older had higher BMI than those There no significant difference mean postoperative hospital stay, neoadjuvant chemotherapy rates, adjuvant radiotherapy rates two groups. Major complications requiring surgical intervention occurred 25 (2.29%). incidence major groups ( P =0.542). Conclusions well-developed safe procedure. duration hospitalization nor affected by use.