Axillary Single-site Laparoscopic Bilateral Mastectomy for the Treatment of Gynaecomastia
10.3969/j.issn.1009-6604.2024.07.003
- VernacularTitle:腋下单孔乳腔镜双侧乳腺腺体切除治疗男子乳腺发育
- Author:
Yan LIU
1
;
Yangxi HU
;
Xing DONG
;
Hua MENG
;
Baoyin LIU
Author Information
1. 郑州大学附属郑州中心医院胃肠代谢外科,郑州 450000
- Keywords:
Gynecomastia;
Single-site laparoscopic surgery;
Mastectomy
- From:
Chinese Journal of Minimally Invasive Surgery
2024;24(7):479-483
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the therapeutic effect of axillary single-site laparoscopic mastectomy in the treatment of gynecomastia.Methods From August to October of 2023,axillary single-site laparoscopic bilateral mastectomy was conducted in 31 patients with gynaecomastia.A 2-2.5 cm incision in the axilla was made,followed by lipolysis and liposuction in the anterior and posterior glandular spaces.After scalpel dissection of the subcutaneous Cooper's ligament,laparoscopic mastectomy was completed,with placement of a drainage tube in the area of the operation.Results The axillary single-site laparoscopic bilateral mastectomy was successfully completed in all the 31 cases.The median operating time was 70(60,90)min,the intraoperative hemorrhage was(12.6±2.3)ml,the time to remove bilateral drainages was(1.5±0.2)d,and the duration of hospitalization was(3.0±0.5)d.The weight of resected mammary gland was(66.1±25.9)g on the right side and 67.7(42.0,87.0)g on the left side.The differences in postoperative chest circumference,nipple to nipple distance,bilateral sternal notch to nipple distance,nipple to midline distance,and nipple height were statistically significant when compared with the preoperative period(P<0.05).Postoperative reduction in chest circumference was(6.52±3.12)cm,the distance between nipples reduced by(2.46±1.53)cm,the right nipple height shifted upwards by 0.82(0.17,1.47)cm,and the left nipple height shifted upwards by 0.87(0.00,1.40)cm.The bilateral nipple position was symmetry postoperatively.There was no statistically significant difference in the bilateral nipple to midline distance and height difference values(P>0.05).Numbness and discomfort in the area of the right nipple and areola occurred after surgery in 1 case,and the symptoms were largely resolved 2 months after surgery.Subcutaneous hemorrhage on the left chest wall occurred postoperatively in 1 case and was resolved by placing a tube through a small incision in the areola to irrigate and drain.No postoperative complications such as hemorrhages,effusions,infections,or nipple-areola necrosis occurred in the remaining 29 cases.Patients'subjective self-assessment of cosmetic results 2 months after surgery was very satisfactory(all were 15 points).Conclusion Axillary single-site laparoscopic mastectomy is a safe and effective treatment for gynecomastia,which is of high value for promotion.
