A retrospective cohort study on the short-term clinical efficacy of single-port assisted endoscopic breast conserving surgery versus conventional open approach for breast cancer
10.3760/cma.j.cn113855-20240205-00109
- VernacularTitle:单孔腔镜辅助对比开放保乳手术的短期临床疗效的回顾性队列研究
- Author:
Zhihan LIU
1
;
Chenlu LIU
;
Jiangtao LI
;
Xinyu OU
;
Yiwen LU
;
Shicheng SU
Author Information
1. 中山大学孙逸仙纪念医院乳腺肿瘤中心，广州 510120
- Keywords:
Breast neoplasms;
Breast conserving surgery;
Endoscopy
- From:
Chinese Journal of General Surgery
2024;39(7):511-515
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the short-term clinical efficacy and patient satisfaction of single-port assisted endoscopic breast-conserving surgery versus open approach in the treatment of female breast cancer patients.Methods:This study retrospectively analyzed the clinical data of 129 female breast cancer patients admitted to Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University from March 2022 to June 2023. In this study, 56 patients underwent breast-conserving surgery assisted by single-port endoscopy (endoscopic group) and 73 patients underwent conventional open breast-conserving surgery (conventional group).Results:Compared to the conventional group (73 cases), the endoscopic group (56 cases) had slightly longer operation time [(200.0±43.2) min vs. (185.3±56.5) min] and intraoperative blood loss [(34.0±25.4) ml vs. (27.2±21.8) ml, P>0.05]. The endoscopic group had a significantly shorter surgical incision length than the conventional group [(4.7±0.7) cm vs. (8.0±1.1) cm, P<0.05], the difference in postoperative tumor margin was not significant (endoscopic group: 3.5% vs. conventional group: 5.7%, P>0.05). In terms of postoperative complications, the endoscopic group had a significantly lower incidence of radiation-related skin reactions than the conventional group ( P<0.05). The endoscopic group had a higher satisfaction rate in terms of postoperative aesthetics (73.2% vs. 56.2%, P<0.05). Conclusions:The short-term clinical efficacy of breast-conserving surgery for female breast cancer by single-port assisted endoscopy is not inferior to that of conventional open breast-conserving surgery, with added better cosmetic results.
