Single-port insufflation technique-assisted endoscopic nipple-sparing mastectomy with immediate prepectoral prosthesis breast reconstruction versus conventional nipple-sparing mastectomy with immediate subpectoral prosthesis breast reconstruction: a retrospective cohort study
10.3760/cma.j.cn113855-20240509-00355
- VernacularTitle:单孔充气法腔镜胸肌前假体置入乳房重建术对比开放胸肌后假体置入乳房重建术的回顾性队列研究
- Author:
Jingfang LYU
1
;
Zihan WANG
;
Chaobin WANG
;
Yuan PENG
;
Yang YANG
;
Wei DU
;
Siyuan WANG
;
Liu YANG
;
Miao LIU
Author Information
1. 北京大学人民医院乳腺外科，北京 100044
- Keywords:
Breast neoplasms;
Surgical procedures,operative;
Endoscopy;
Prosthetic implantation
- From:
Chinese Journal of General Surgery
2024;39(7):521-526
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the differences in surgical safety and postoperative cosmetic effects between endoscopic nipple-sparing mastectomy with immediate prepectoral prosthesis breast reconstruction and conventional nipple-sparing mastectomy with immediate subpectoral prosthesis breast reconstruction.Methods:The clinical data of early breast cancer patients admitted to the Department of Breast Surgery of Peking University Peoples Hospital from Oct 1, 2022 to Sep 13, 2023 was retrospectively analyzed.Results:According to the surgical method, the patients were divided into endoscopic surgery group (30 cases) and traditional surgery group (46 cases). There were no significant differences in the basic clinicopathological data, and the number of sentinel lymph nodes taken and axillary lymph nodes dissected between the patients in two groups (all P>0.05). Compared with that in traditional surgery group, the patients in endoscopic surgery group had longer operation time and more wound drainage volumes 3 days after surgery (all P<0.05). There was no significant differences in the probability of postoperative complications between the patients in two groups (all P>0.05), however, the proportion of nipple-areola complex necrosis in patients of endoscopic surgery group (10.0%) was lower than that of traditional surgery group (26.1%). Conclusions:The single-port insufflation technique-assisted endoscopic nipple-sparing mastectomy with immediate prepectoral prosthesis breast reconstruction maximize the cosmetic effect. Under the premise of strict selection of indications, it can be an optional surgical method.
