<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">tumors</journal-id><journal-title-group><journal-title xml:lang="ru">Malignant tumours</journal-title><trans-title-group xml:lang="en"><trans-title>Malignant tumours</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2224-5057</issn><issn pub-type="epub">2587-6813</issn><publisher><publisher-name>Rosoncoweb</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">tumors-540</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL REPORTS</subject></subj-group></article-categories><title-group><article-title>Современная одномоментная реконструкция молочной железы имплантатами. Влияние новых технических решений и адъювантной лучевой терапии на результаты</article-title><trans-title-group xml:lang="en"><trans-title></trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Малыгин</surname><given-names>С. E.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кириллова</surname><given-names>E. Л.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>ФГБОУ «Российский национальный исследовательский медицинский университет им. Н. И. Пирогова» Министерства здравоохранения РФ.</institution><country>Russian Federation</country></aff><aff xml:lang="ru" id="aff-2"><institution>Клинико-диагностический центр МЕДСИ на Красной Пресне.</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>11</day><month>11</month><year>2018</year></pub-date><volume>8</volume><issue>3s1</issue><fpage>17</fpage><lpage>21</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Малыгин С.E., Кириллова E.Л., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Малыгин С.E., Кириллова E.Л.</copyright-holder><copyright-holder xml:lang="en">Малыгин С.E., Кириллова E.Л.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.malignanttumors.org/jour/article/view/540">https://www.malignanttumors.org/jour/article/view/540</self-uri><abstract><p>В статье отражены основные современные подходы к одномоментной реконструкции молочной железы с использованием имплантатов, включая изменения объема выполнения мастэктомии с сохранением сосково-ареолярного комплекса, а также технические решения, позволяющие расширить показания и добиться улучшения эстетических результатов. Проведен обзор алломатериалов, используемых для снижения частоты осложнений при суб- и препекторальном расположении имплантатов. Обсуждены спорные вопросы тенденции к расширению показаний к адъювантной лучевой терапии после мастэктомии и влиянии ее на результаты реконструкции.</p></abstract><kwd-group xml:lang="ru"><kwd>рак молочной железы</kwd><kwd>реконструкция молочной железы</kwd><kwd>имплантаты молочной железы</kwd><kwd>адъювантная лучевая терапия</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Малыгин С. Е. Мастэктомия: рождение, эволюция и современное значение в лечении и профилактике рака молочной железы. Злокачественные опухоли. 2015; (4):3–13.</mixed-citation><mixed-citation xml:lang="en">Малыгин С. Е. Мастэктомия: рождение, эволюция и современное значение в лечении и профилактике рака молочной железы. Злокачественные опухоли. 2015; (4):3–13.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Laronga C, Smith P Nipple-sparing mastectomy: an oncologic and cosmetic perspective. Surg Oncol Clin N Am. 2014 Jul; 23(3):549–66.</mixed-citation><mixed-citation xml:lang="en">Laronga C, Smith P Nipple-sparing mastectomy: an oncologic and cosmetic perspective. Surg Oncol Clin N Am. 2014 Jul; 23(3):549–66.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Fredericks S A 10-year experience with subcutaneous mastectomy. Clin Plast Surg. 1975 Jul; 2(3):347–57.</mixed-citation><mixed-citation xml:lang="en">Fredericks S A 10-year experience with subcutaneous mastectomy. Clin Plast Surg. 1975 Jul; 2(3):347–57.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Radovan C Breast reconstruction after mastectomy using the temporary expander. Plast Reconstr Surg. 1982 Feb; 69(2):195–208.</mixed-citation><mixed-citation xml:lang="en">Radovan C Breast reconstruction after mastectomy using the temporary expander. Plast Reconstr Surg. 1982 Feb; 69(2):195–208.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Maxwell GP, Falcone PA Eighty-four consecutive breast reconstructions using a textured silicone tissue expander. Plast Reconstr Surg. 1992 Jun; 89(6):1022–34.</mixed-citation><mixed-citation xml:lang="en">Maxwell GP, Falcone PA Eighty-four consecutive breast reconstructions using a textured silicone tissue expander. Plast Reconstr Surg. 1992 Jun; 89(6):1022–34.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Salzberg CA. Plast Reconstr Surg. 2012 Nov; 130(5 Suppl 2):95S–103.</mixed-citation><mixed-citation xml:lang="en">Salzberg CA. Plast Reconstr Surg. 2012 Nov; 130(5 Suppl 2):95S–103.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">de Vita R, Buccheri EM Nipple sparing mastectomy and direct to implant breast reconstruction, validation of the safe procedure through the use of laser assisted indocyanine green fluorescent angiography. Gland Surg. 2018 Jun; 7(3):258–266.</mixed-citation><mixed-citation xml:lang="en">de Vita R, Buccheri EM Nipple sparing mastectomy and direct to implant breast reconstruction, validation of the safe procedure through the use of laser assisted indocyanine green fluorescent angiography. Gland Surg. 2018 Jun; 7(3):258–266.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Colwell AS, Tessler O, Lin AM, Liao E, Winograd J, Cetrulo CL, Tang R, Smith BL, Austen WG Jr. Breast reconstruction following nipple-sparing mastectomy: predictors of complications, reconstruction outcomes, and 5-year trends. Plast Reconstr Surg. 2014 Mar; 133(3):496–506.</mixed-citation><mixed-citation xml:lang="en">Colwell AS, Tessler O, Lin AM, Liao E, Winograd J, Cetrulo CL, Tang R, Smith BL, Austen WG Jr. Breast reconstruction following nipple-sparing mastectomy: predictors of complications, reconstruction outcomes, and 5-year trends. Plast Reconstr Surg. 2014 Mar; 133(3):496–506.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Headon HL, Kasem A, Mokbel K. The Oncological Safety of Nipple-Sparing Mastectomy: A Systematic Review of the Literature with a Pooled Analysis of 12,358 Procedures. Arch Plast Surg. 2016 Jul; 43(4):328–38.</mixed-citation><mixed-citation xml:lang="en">Headon HL, Kasem A, Mokbel K. The Oncological Safety of Nipple-Sparing Mastectomy: A Systematic Review of the Literature with a Pooled Analysis of 12,358 Procedures. Arch Plast Surg. 2016 Jul; 43(4):328–38.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Wainwright DJ. Use of an acellular allograft dermal matrix (AlloDerm) in the management of full-thickness burns. Burns. 1995 Jun. 21(4):243–8.</mixed-citation><mixed-citation xml:lang="en">Wainwright DJ. Use of an acellular allograft dermal matrix (AlloDerm) in the management of full-thickness burns. Burns. 1995 Jun. 21(4):243–8.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Breuing KH, Warren SM. Immediate bilateral breast reconstruction with implants and inferolateral AlloDerm slings. Ann Plast Surg. 2005 Sep. 55(3):232–9.</mixed-citation><mixed-citation xml:lang="en">Breuing KH, Warren SM. Immediate bilateral breast reconstruction with implants and inferolateral AlloDerm slings. Ann Plast Surg. 2005 Sep. 55(3):232–9.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Salzberg CA. Nonexpansive immediate breast reconstruction using human acellular tissue matrix graft (AlloDerm). Ann Plast Surg. 2006 Jul. 57(1):1–5.</mixed-citation><mixed-citation xml:lang="en">Salzberg CA. Nonexpansive immediate breast reconstruction using human acellular tissue matrix graft (AlloDerm). Ann Plast Surg. 2006 Jul. 57(1):1–5.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Spear SL, Parikh PM, Reisin E, Menon NG. Acellular dermis-assisted breast reconstruction. Aesthetic Plast Surg. 2008 May. 32(3):418–25.</mixed-citation><mixed-citation xml:lang="en">Spear SL, Parikh PM, Reisin E, Menon NG. Acellular dermis-assisted breast reconstruction. Aesthetic Plast Surg. 2008 May. 32(3):418–25.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Hunsicker LM, Ashikari AY, Berry C, Koch RM, Salzberg CA Short-Term Complications Associated With Acellular Dermal Matrix-Assisted Direct-to-Implant Breast Reconstruction. Ann Plast Surg. 2017 Jan; 78(1):35–40.</mixed-citation><mixed-citation xml:lang="en">Hunsicker LM, Ashikari AY, Berry C, Koch RM, Salzberg CA Short-Term Complications Associated With Acellular Dermal Matrix-Assisted Direct-to-Implant Breast Reconstruction. Ann Plast Surg. 2017 Jan; 78(1):35–40.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Dieterich M, Paepke S, Zwiefel K, Dieterich H, Blohmer J, Faridi A, Klein E, Gerber B, Nestle-Kraemling C. Implant-based breast reconstruction using a titanium-coated polypropylene mesh (TiLOOP Bra): a multicenter study of 231 cases. Plast Reconstr Surg. 2013 Jul; 132(1).</mixed-citation><mixed-citation xml:lang="en">Dieterich M, Paepke S, Zwiefel K, Dieterich H, Blohmer J, Faridi A, Klein E, Gerber B, Nestle-Kraemling C. Implant-based breast reconstruction using a titanium-coated polypropylene mesh (TiLOOP Bra): a multicenter study of 231 cases. Plast Reconstr Surg. 2013 Jul; 132(1).</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">H.D. Loustau, H.F. Mayer, M. Sarrabayrouse. Immediate prosthetic breast reconstruction: the ensured subpectoral pocket (ESP). J Plast Reconstr Aesthet Surg, 60 (2007), pp. 1233–1238.</mixed-citation><mixed-citation xml:lang="en">H.D. Loustau, H.F. Mayer, M. Sarrabayrouse. Immediate prosthetic breast reconstruction: the ensured subpectoral pocket (ESP). J Plast Reconstr Aesthet Surg, 60 (2007), pp. 1233–1238.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Haynes DF, Kreithen JC Vicryl mesh in expander/implant breast reconstruction: long-term follow-up in 38 patients.</mixed-citation><mixed-citation xml:lang="en">Haynes DF, Kreithen JC Vicryl mesh in expander/implant breast reconstruction: long-term follow-up in 38 patients.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Pompei S, Evangelidou D, Arelli F, Ferrante G. The Use of TIGR Matrix in Breast Aesthetic and Reconstructive Surgery: Is a Resorbable Synthetic Mesh a Viable Alternative to Acellular Dermal Matrices? Clin Plast Surg. 2018 Jan; 45(1):65–73.</mixed-citation><mixed-citation xml:lang="en">Pompei S, Evangelidou D, Arelli F, Ferrante G. The Use of TIGR Matrix in Breast Aesthetic and Reconstructive Surgery: Is a Resorbable Synthetic Mesh a Viable Alternative to Acellular Dermal Matrices? Clin Plast Surg. 2018 Jan; 45(1):65–73.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Baker BG, Irri R, MacCallum V, Chattopadhyay R, Murphy J, Harvey JR. A Prospective Comparison of Short-Term Outcomes of Subpectoral and Prepectoral Strattice-Based Immediate Breast Reconstruction. Plast Reconstr Surg. 2018 May; 141(5): 1077–1084.</mixed-citation><mixed-citation xml:lang="en">Baker BG, Irri R, MacCallum V, Chattopadhyay R, Murphy J, Harvey JR. A Prospective Comparison of Short-Term Outcomes of Subpectoral and Prepectoral Strattice-Based Immediate Breast Reconstruction. Plast Reconstr Surg. 2018 May; 141(5): 1077–1084.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Marta GN, Poortmans P, de Barros AC et al. Multidisciplinary international survey of post-operative radiation therapy practices after nipple-sparing or skin-sparing mastectomy. Eur J Surg Oncol. 2017 Nov; 43(11):2036–2043.</mixed-citation><mixed-citation xml:lang="en">Marta GN, Poortmans P, de Barros AC et al. Multidisciplinary international survey of post-operative radiation therapy practices after nipple-sparing or skin-sparing mastectomy. Eur J Surg Oncol. 2017 Nov; 43(11):2036–2043.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Razdan SN, Cordeiro PG, Albornoz CR. National Breast Reconstruction Utilization in the Setting of Postmastectomy Radiotherapy. J Reconstr Microsurg. 2017 Jun; 33(5):312–317.</mixed-citation><mixed-citation xml:lang="en">Razdan SN, Cordeiro PG, Albornoz CR. National Breast Reconstruction Utilization in the Setting of Postmastectomy Radiotherapy. J Reconstr Microsurg. 2017 Jun; 33(5):312–317.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Nahabedian MY, Cocilovo C. Two-Stage Prosthetic Breast Reconstruction: A Comparison Between Prepectoral and Partial Subpectoral Techniques. Plast Reconstr Surg. 2017 Dec; 140(6S Prepectoral Breast Reconstruction): 22S–30S.</mixed-citation><mixed-citation xml:lang="en">Nahabedian MY, Cocilovo C. Two-Stage Prosthetic Breast Reconstruction: A Comparison Between Prepectoral and Partial Subpectoral Techniques. Plast Reconstr Surg. 2017 Dec; 140(6S Prepectoral Breast Reconstruction): 22S–30S.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Sinnott CJ, Persing SM, Pronovost M. Impact of Postmastectomy Radiation Therapy in Prepectoral Versus Subpectoral Implant-Based Breast Reconstruction. Ann Surg Oncol. 2018 Oct; 25(10):2899–2908.</mixed-citation><mixed-citation xml:lang="en">Sinnott CJ, Persing SM, Pronovost M. Impact of Postmastectomy Radiation Therapy in Prepectoral Versus Subpectoral Implant-Based Breast Reconstruction. Ann Surg Oncol. 2018 Oct; 25(10):2899–2908.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
