Comparative Outcomes of Kiss Latissimus Dorsi Flap Versus Extended Thoracoabdominal Hatchet Flap for Large…

Cohort studyJournal of surgical oncology· Jul 2026

Comparative Outcomes of Kiss Latissimus Dorsi Flap Versus Extended Thoracoabdominal Hatchet Flap for Large Chest Wall Reconstruction: A Retrospective Cohort Study.

Giuseppe A G Lombardo, Paolo Marchica, Isidoro Musmarra … Francesca Catalano

Microsurgery & FlapsCohort studyTreatmentQ1IF 1.9

Kiss Latissimus Dorsi flap was linked to less delayed wound healing than hatchet flap.

Comparative Outcomes of Kiss Latissimus Dorsi Flap Versus Extended Thoracoabdominal Hatchet Flap for Large Chest Wall Reconstruction: A Retrospective Cohort Study.

Giuseppe A G Lombardo … Francesca Catalano

Journal of surgical oncology · Jul 2026 · Q1 in Surgery

Background

Reconstruction of chest wall defects after oncologic resection requires techniques that minimize wound morbidity and preserve timely access to adjuvant therapy.

Methods

A retrospective cohort study was conducted including female patients who underwent chest wall reconstruction between 2015 and 2023 using either a Kiss Latissimus Dorsi flap (n = 11) or an extended thoracoabdominal hatchet flap (n = 12).

n = 11

Results

wounds healed slowly in only 1 in 11 kiss Latissimus Dorsi patients, far fewer than hatchet flap

Kiss LD

21.7days

Hatchet

34.5days

“

Conclusion · 1 of 2

The Kiss Latissimus Dorsi flap was associated with faster and more reliable healing than the extended thoracoabdominal hatchet flap, alongside earlier initiation of adjuvant therapy.

Conclusion · 2 of 2

The Kiss Latissimus Dorsi flap may represent a reliable reconstructive strategy for oncologic patients when treatment sequencing is essential.

Comparative Outcomes of Kiss Latissimus Dorsi Flap Versus Extended Thoracoabdominal Hatchet Flap for Large Chest Wall Reconstruction: A Retrospective Cohort Study.

Comparative Outcomes of Kiss Latissimus Dorsi Flap Versus Extended Thoracoabdominal Hatchet Flap for Large Chest Wall Reconstruction: A Retrospective Cohort Study.

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