A study of the efficacy and psychological benefits of liposuc-tion combined with single-port endoscopic subcutaneous ad-enomectomy for the treatment of adolescent male gynaeco-mastia
10.3969/j.issn.1009-9905.2024.10.005
- VernacularTitle:经腋窝吸脂联合单孔腔镜手术治疗青少年男性乳腺发育症的疗效及心理获益的研究
- Author:
Wei LIU
1
;
Yao ZHANG
;
Jun GUO
;
Zhi LI
;
Chen HAO
;
Shuai QI
;
Cheng JIAO
;
Liang-Hui ZHI
Author Information
1. 联勤保障部队第九八○医院 普通外科(河北 石家庄 050082)
- Keywords:
Gynecomastia;
Mammoscopic surgery;
Subcutaneous adenomectomy;
Psycho-logical state
- From:
Chinese Journal of Current Advances in General Surgery
2024;27(10):779-783
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the difference in efficacy between liposuction combined with single-port endoscopic subcutaneous adenomectomy and traditional open surgery in treating adolescent male breast development disorder,and to compare their effects on patients'anxiety levels and quality of life.Methods:A total of sixty-four patients with adolescent male mammary gland dysplasia who underwent surgery at our hospital between March 2022 and June 2023 were included in this retrospective analysis,with 28 cases in the open surgery group and 36 cases in the single-hole endoscopic group.The study compared various parameters including surgery duration,intraoperative bleeding,incision length,hospitalization duration,treatment cost,and postoperative complications,alongside collecting GAD-7,SF-36,and SCAR questionnaire scores from the pa-tients.Results:The single-port endoscopy group,in comparison to the open surgery group,showed a slightly longer operation time and higher treatment cost but had a shorter hospitalization duration and smaller incision.There was no significant difference observed between the two groups concerning intraoperative bleeding.Notably,the single-port endoscopy group exhibited more significant improvements in SCAR,SF-36,and GAD-7 scores(P<0.05).Conclusion:Com-pared with traditional open surgery,liposuction combined with single-port endoscopic subcutane-ous adenomectomy is more effective in treating adolescent gynecomastia.This approach not only offers better aesthetic outcomes but also proves effective in reducing patient anxiety and signifi-cantly enhancing their quality of life.