Clinical application of single axillary approach reverse sequence endoscopic nipple-sparing mastectomy of breast cancer combined with subpectoral implant-based breast reconstruction in breast cancer patients: A retrospective single-center study
- VernacularTitle:腋窝入路逆序法腔镜乳腺癌保留乳头乳晕腺体切除术后全胸肌后假体乳房重建的单中心回顾性研究
- Author:
Fengdan TAN
1
;
Huanzuo YANG
2
;
Xiaoman CAO
1
;
Zhenggui DU
2
Author Information
1. West China School of Medicine, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
2. Department of Breast Disease Center, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
- Publication Type:Journal Article
- Keywords:
Breast cancer;
endoscopy;
breast reconstruction;
reverse sequence method
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2025;32(06):785-791
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical and aesthetic results of single axillary approach reverse sequence endoscopic nipple-sparing mastectomy of breast cancer combined with subpectoral implant-based breast reconstruction (IBBR) for breast cancer patients. Methods The clinical data of consecutive female patients who underwent single axillary approach reverse sequence endoscopic nipple-sparing mastectomy of breast cancer combined with subpectoral IBBR from May 2020 to December 2022 were retrospectively analyzed. The patient demographics, perioperative parameters, complications and aesthetic results were collected. Results A total of 62 patients (74 breasts) were included. The mean age of patients was (39.0±7.8) years. The total mean operation time was (185.2±45.5) minutes. Five (8.1%) patients suffered from surgical complications. Two (3.2%) patients experienced major complications, and 3 (4.8%) suffered from minor complications. No patient experienced partial nipple-areola complex necrosis. Seventeen (27.4%) patients experienced implant related complications, of which 11 (17.7%) experienced capsular contracture. During a median follow-up time of 30 months ranging from 11 to 42 months, no patient experienced locoregional recurrence, distant metastasis or death. Thirty-seven (88.1%) patients evaluated their breasts as good or excellent. In the surgeon-reported cosmetic results, 40 (95.2%) patients achieved excellent or good results. Conclusion This surgical technique is characterized by minimal trauma, short operation time, high safety, and excellent cosmetic outcomes for patients with small breasts and mild ptosis, making it worthy of further promotion.
