Evolving Trends in Postmastectomy Breast Reconstruction With Autologous Tissues: A Large-Scale, 24-Year Retrospective Study in China.

ABSTRACT:

Background

Autologous breast reconstruction (ABR) significantly improves quality of life following mastectomy. However, ABR has traditionally been underutilized compared to implant-based breast reconstruction (IBBR), partly due to its technical complexity, longer operative time, and relatively limited reimbursement. This study aimed to evaluate the patterns and evolving trends of ABR in China.

Methods

Annual trends in breast reconstruction at Fudan University Shanghai Cancer Center (FUSCC) from 2000 to 2023 were retrospectively analyzed. Data included patient demographics, reconstruction timing, flap types, adjuvant radiotherapy status, and reoperations due to complications. Temporal trends were assessed using linear regression analysis.

Results

Among 6,174 unilateral

SUBMITTER: Wang X 

PROVIDER: S-EPMC12501921 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature