Breast Reconstruction After Breast Surgery in Women with Breast Cancer at Multiple Centers in Jakarta

Background: Breast reconstruction in women with breast cancer has not been thoroughly investigated or measured in Indonesia. A pioneering study is needed to identify the breast reconstruction rate, treatment outcomes, and factors influencing treatment in a smaller population to support nationwide breast cancer epidemiological studies in the future. Methods: The secondary data of 105 women with breast cancer who underwent reconstruction post-breast surgery at several cancer centers in Jakarta were collected retrospectively from 2020—the first quarter of 2024. Univariate and bivariate analyses were subsequently performed to determine the breast reconstruction rate, characteristics of breast reconstruction, outcomes of breast reconstruction, factors influencing the choice of breast reconstruction, and surgical outcome. Results: The breast reconstruction rate at one center after 2 years was 56.8%, and the multicenter trend of breast reconstruction increased by 7.6% after 1 year. Plastic surgeons performed 36.8% of the total breast reconstructions, with DIEP-free flaps being the most commonly performed type of reconstruction. The median length of hospitalization and the ICU stay after the procedures were 7 and 1 days, respectively. According to Fisher’s exact test, a history of radiotherapy (p = 0.03), type of breast surgery (p < 0.05), and surgical site of the breast surgery (p < 0.05) were significantly associated with the choice of breast reconstruction in women with breast cancer. Independent t-tests indicated that lymph node dissection (p = 0.03), the timing of breast reconstruction (p = 0.05), and the presence of complications (p = 0.002) were significantly associated with the length of ICU stay. Conclusion: Despite having a relatively high breast reconstruction rate, further investigations are needed to determine the nationwide breast reconstruction rate, the outcomes of therapy, and the factors influencing the outcomes to improve management nationwide.