{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T20:02:44Z","timestamp":1790280164798,"version":"4.1.0"},"reference-count":56,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chest wall perforator flaps (CWPFs) offer a promising, volume\u2010preserving reconstructive option for patients undergoing breast\u2010conserving surgery. However, standardized data on safety, efficacy, and patient\u2010reported outcomes remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This systematic review was conducted in accordance with PRISMA guidelines. A comprehensive search of PubMed, Embase, clinical trial registries, and grey literature was performed up to April 2025. Primary outcomes were surgical complications, operative time, and validated patient satisfaction scores. Secondary outcomes included aesthetic assessments and oncologic safety. Methodological quality was assessed using the MINORS criteria. Meta\u2010analysis was not performed due to heterogeneity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty\u2010two studies involving 2591 patients were included. Overall complication rates were low: seroma (5.0%), infection (\u223c2%), fat necrosis (1.6%), flap loss (0.7%), and wound dehiscence (1.5%). Cosmetic outcomes, when evaluated by patients or surgeons, were generally rated good to excellent. Validated PROMs were underutilized. Oncologic outcomes reported by a minority of studies suggested low locoregional (\u223c2%) and distant (\u223c4.3%) recurrence rates, with 5\u2010year overall survival exceeding 90% in most series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CWPFs appear to provide favorable aesthetic outcomes with low short\u2010term morbidity across heterogeneous observational cohorts. However, oncologic outcomes are sparsely reported with short and inconsistent follow\u2010up and incomplete adjustment for tumor biology, systemic therapy, and radiotherapy. Accordingly, oncologic safety cannot be inferred from the current evidence, and the certainty of evidence for oncologic endpoints is very low. Prospective, standardized studies reporting LRR\/DFS\/OS at prespecified time\u2010points and using validated PROMs are essential.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.70393","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T13:52:43Z","timestamp":1778161963000},"page":"1468-1480","source":"Crossref","is-referenced-by-count":1,"title":["Chest Wall Perforator Flaps in Breast Cancer Surgery: A Systematic Review of Clinical Outcomes, Complications, and Patient\u2010Reported Satisfaction"],"prefix":"10.1002","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0682-4970","authenticated-orcid":false,"given":"Sanjay K.","family":"Yadav","sequence":"first","affiliation":[{"name":"Department of Surgery NSCB Medical College  Jabalpur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debashree","family":"S","sequence":"additional","affiliation":[{"name":"Oncoplastic Breast Surgeon Chennai Breast Centre  Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivank","family":"Sethi","sequence":"additional","affiliation":[{"name":"NSCB Medical College  Jabalpur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tashibihul","family":"Azhar","sequence":"additional","affiliation":[{"name":"Surgical Oncology AIIMS  Patna India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Afrah","family":"Abdurahman","sequence":"additional","affiliation":[{"name":"Breast and General Surgeon  Malappuram Kerala India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjit Kumar","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Breast Oncosurgery Tata Medical Center  Kolkata 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