Analysis of single circumaereolar incision nipple-sparing modified radical mastectomy and immediate tissue expander implantation
10.3760/cma.j.issn.1674-6090.2017.02.002
- VernacularTitle:单切口环乳晕入路保留乳头乳晕乳腺癌改良根治术联合同期乳腺扩张器植入术的应用分析
- Author:
Changjun WANG
;
Ru YAO
;
Yidong ZHOU
;
Feng MAO
;
Jinghong GUAN
;
Yan LIN
;
Xuejing WANG
;
Xiaohui ZHANG
;
Yanna ZHANG
;
Songjie SHEN
;
Ying ZHONG
;
Bo PAN
;
Yali XU
;
Kailun FEI
;
Qiang SUN
- Keywords:
Circumaereolar incision;
Nipple-sparing modified radical mastectomy;
Modified radical mastectomy;
Tissue expander implantation;
Breast reconstruction
- From:
Chinese Journal of Endocrine Surgery
2017;11(2):92-96
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety and cosmetic effect of nipple-sparing modified radical mas tectomy and immediate tissue expander implantation with single circumaereolar incision.Methods 30 patients were enrolled in Peking Union Medical College Hospital between Jan.2014 and Dec.2015.All the patients were categorized according to surgical incision (single circumaereolar incision group vs double incisions group).Data on clinicopathological parameters,average hospital stay,complications and overall cosmetic effect were retrospectively collected.Data was performed with Chi-square test,Fisher exact test and t-test.Statistical significance was defined as P＜0.05.Results 19 patients were enrolled in single circumaereolar incision group,and 11 patients in double incisions group.There was no significant difference for operation duration (P=0.093) and average hospital stay (P=0.339).After follow-up for 19.1 months,ranging from 8 to 31 months,no patients developed seroma or arm lymphedema.There was no statistical significance between the two groups in terms of sensation in nippleaereolar area (P=0.973),bilateral symmetry (P=0.650) and overall cosmesis (P=0.483).Conclusion single circumaereolar incision nipple-sparing modified radical mastectomy and immediate tissue expander implantation can be one of the preferable surgical procedures with benefits of minimal invasiveness,reliable oncological safety and decent cosmetic effect.
