Effectiveness and safety of laparoscopic-assisted liposuction for treatment of gynaecomastia
10.3760/cma.j.issn.1671-0290.2024.05.017
- VernacularTitle:腔镜联合溶脂吸脂技术治疗男性乳房发育的效果及安全性分析
- Author:
Zhiqiang MA
1
;
Jianxin HE
;
Ruonan WANG
;
Wei GUO
;
Mengyuan CHEN
;
Hai LU
;
Bingshuai SHI
Author Information
1. 河南大学第一附属医院乳腺甲状腺外科，开封 475000
- Keywords:
Thoracoscopy;
Gynecomastia;
Liposuction;
Patient satisfaction
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2024;30(5):501-505
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effectiveness and safety of laparoscopic-assisted liposuction in the treatment of gynecomastia.Methods:A retrospective study was conducted on 115 male breast development patients from January 2021 to May 2023 at the First Affiliated Hospital of Henan University and Shaoguan Hospital of Southern Medical University. The patients were divided into two groups based on surgical methods: the laparoscopic combined liposuction technique group (observation group) and the traditional areola incision group (control group). The control group consisted of 59 cases, aged between 18 and 52 years (26.2±5.2); There were 56 cases in the observation group, aged between 18 and 55 years (26.5±5.2). The differences in surgical time, intraoperative blood loss, drainage tube removal time, incidence of surgical complications, postoperative drainage volume, pain visual analog scale (VAS), and patient satisfaction were compared between two groups of patients.Results:The intraoperative bleeding volume, drainage tube removal time, and postoperative drainage volume in the observation group were 12.25±2.23, 2.85±0.53, and 80.52±7.53, respectively, all of which were lower than those in the control group (26.53±2.35, 4.22±0.59, 81.25±8.54, respectively), and the differences were statistically significant (all P<0.05).The incidence of sensory abnormalities in the nipple areola area of the observation group was 1.8% (1/56), which was lower than the 10.2% (6/59) of the control group, and the difference was statistically significant ( P<0.05).The postoperative breast shape, nipple shape, and incision score of the observation group were 81.15±18.52, 77.85±22.15, and 72.58±10.56 points, respectively, all higher than the control group's 69.34±18.48, 78.12±21.75, and 60.35±9.35 points, and the differences were statistically significant (all P<0.05). Conclusions:Laparoscopic combined with liposuction technology for the treatment of gynecomastia can reduce intraoperative bleeding and postoperative drainage volume and shorten the time for removing drainage tubes with better safety.
