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Table 2 Summary of surgical characteristics of patients with and without NACT

From: Reconstructive outcome analysis of the impact of neoadjuvant chemotherapy on immediate breast reconstruction: a retrospective cross-sectional study

Variable

All

(n = 269)

NACT (%)

(n = 46)

Non-NACT (%)

(n = 223)

p value

Laterality, no. of patient

   

0.365

 Unilateral

260 (96.7)

46 (100.0)

214 (96.0)

 

 Bilateral

9 (3.3)

0 (0.0)

9 (4.0)

 

Location, no. of breast

   

0.872

 Right

146 (52.5)

25 (54.3)

121 (52.2)

 

 Left

132 (47.5)

21 (45.7)

111 (47.8)

 

Type of mastectomy

   

0.226

 Skin-sparing

181 (67.3)

27 (58.7)

154 (69.1)

 

 Nipple-sparing

88 (32.7)

19 (41.3)

69 (30.9)

 

Sentinel lymph node biopsy

230 (85.5)

26 (56.5)

204 (91.5)

< 0.001*

Positive SLNB

47 (17.5)

7 (15.2)

40 (17.9)

0.832

Axillary lymph node dissection

92 (34.2)

33 (71.7)

59 (26.5)

< 0.001*

Breast margin positive

3 (1.1)

2 (4.3)

1 (0.4)

0.077

Nipple core positive

3 (1.1)

2 (4.3)

1 (0.4)

0.077

Type of Immediate reconstruction

   

0.408

 Implant-based reconstruction

163 (60.6)

25 (54.3)

138 (61.9)

 

 Autologous reconstruction

106 (39.4)

21 (45.7)

85 (38.1)

 

Type of implant-based reconstruction

   

0.001*

 Direct to implant

130 (79.8)

13 (52.0)

117 (84.8)

 

 Tissue expander and implant

33 (20.2)

12 (48.0)

21 (15.2)

 

Type of autologous reconstruction

   

0.869

 Muscle-sparing free TRAM

5 (4.7)

0 (0.0)

5 (5.9)

 

 DIEP

90 (84.9)

19 (90.5)

71 (83.5)

 

 PAP

11 (10.4)

2 (9.5)

9 (10.6)

 

Specimen size (gm)

380 ± 200

422 ± 216

372 ± 196

0.133

Flap size (gm)

441 ± 186

387 ± 147

454 ± 192

0.136

Implant size (ml)

300 ± 90

292 ± 77

302 ± 92

0.691

Hospital stay ± SD, day

9.8 ± 8.1

9.8 ± 4.1

9.8 ± 8.8

0.990

Aesthetic revision surgery

57 (21.2)

7 (15.2)

50 (22.4)

0.326

  1. NACT neoadjuvant chemotherapy, SLNB sentinel lymph node biopsy, TRAM transverse rectus myocutaneous, DIEP deep inferior epigastric perforator, PAP profunda artery perforator