Application of single-port air-filling technique in breast-conserving surgery for early breast cancer
10.3760/cma.j.cn115396-20240409-00107
- VernacularTitle:单孔充气法腔镜手术在早期乳腺癌保乳手术中的应用
- Author:
Xiaobo GUO
1
;
Shiyan SHAN
Author Information
1. 北京丰台医院甲乳疝肛肠外科，北京 100071
- Keywords:
Breast neoplasms;
Laparoscopic surgery;
Mastectomy;
Surgical procedures, operative;
Therapeutic effect
- From:
International Journal of Surgery
2024;51(10):699-704
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of the single-port air-filling technique in breast-conserving surgery for patients with early breast cancer.Methods:A retrospective study was conducted to select 60 female patients with early breast cancer who underwent breast-conserving surgery in the Beijing Fengtai Hospital from June 2020 to June 2023, and they were divided into two groups according to different surgical methods: observation group ( n=28) and control group ( n=32). Patients in the observation group were treated with single-port air-filling technique in breast-conserving surgery, while patients in the control group were treated with traditional open breast-conserving surgery. Perioperative indicators of the two groups of patients were analyzed, including operation time, intraoperative bleeding volume, postoperative drainage time, postoperative drainage volume, postoperative complications, Functional Assessment of Cancer Therapy-Breast (FACT-B) score, tumor recurrence, cosmetic effect and other related indicators. The measurement data were expressed as mean ± standard deviation ( ± s), and independent sample t-test was used for comparison between groups; the count data were expressed as the number of cases and percentage, and the Chi-square test was used for comparison between groups. Results:All 60 patients had successfully completed the surgery. The operative time in the observation group was (123.6±35.2) min, which was significantly longer than that in the control group [(62.3±21.5 ) min], and the difference was statistically significant ( P<0.05). The intraoperative bleeding volume in the observation group was (21.2±12.3) ml, which was significantly lower than that in the control group [(38.3±18.6) mL], and the differences were statistically significant ( P< 0.05). The postoperative drainage time and drainage volume between the two groups of patients has no statistically significant difference ( P>0.05). There was no skin necrosis and wound infection in both groups. In terms of cosmetic effect scores at 1 and 6 months after surgery, the observation group [(10.8±0.8), (11.6±1.3) points] were superior to the control group [(8.9±0.9), (9.2±1.2) points], and the differences were statistically significant ( P<0.05). In terms of postoperative FACT-B score at 1 and 6 months after surgery, the observation group [(15.40±2.00), (18.60±2.10) points] were higher than control group [(11.10±2.90), (17.10±2.70) points], and the differences were statistically significant ( P<0.05). There was no local recurrence or distant metastasis in both groups during the follow-up period. Conclusion:The application of single-port air-filling technique in breast-conserving surgery for patients with early breast cancer not only has a definite tumor treatment effect, but also has ideal cosmetic effect, which greatly improves the quality of life of patients.
