An innovative exploration of endoscopic nipple-sparing mastectomy combined with immediate pre-pectoral implant-based breast reconstruction with TiLoop Bra via single axillary incision for breast cancer patients
- VernacularTitle:腋窝入路腔镜下乳腺癌皮下腺体切除联合胸肌前假体+补片Ⅰ期乳房重建的创新探索
- Author:
Xiangquan QIN
1
;
Tiantian WANG
1
;
Yanyan XIE
1
;
Faqing LIANG
1
;
Yu FENG
1
;
Jiao ZHOU
1
;
Yixuan HUANG
1
;
Juan LI
1
;
Mengxue QIU
1
;
Songbo ZHANG
1
;
Nan WEN
1
;
Yuting ZHOU
1
;
Huanzuo YANG
1
;
Qing LV
2
,
3
;
Zhenggui DU
2
,
3
Author Information
1. Department of Breast Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
2. 1. Department of Breast Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
3. 2. Center for Breast Disease Treatment, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
- Publication Type:Journal Article
- Keywords:
Breast cancer;
endoscopy;
breast reconstruction;
reverse sequence method;
traction line mesh method
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(09):1029-1036
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the surgical technique and preliminary results of endoscopic nipple-sparing mastectomy (E-NSM) and immediate pre-pectoral implant-based breast reconstruction (BR) with titanium-coated polypropylene mesh (TiLoop Bra) via single axillary incision for breast cancer patients. Methods The clinical data of 9 consecutive female patients who underwent E-NSM and immediate pre-pectoral implant-based BR with TiLoop Bra from March to May 2021 were retrospectively analyzed. The mean age of patients was 40.6 (22-60) years. The operation time, early complications were collected, and the patients' social and mental health, breast satisfaction and chest function before and after the operation were assessed with the BREAST-Q questionnaire. Results All the patients had unicentric tumor with a mean diameter of 2.4 (0.6-4.7) cm. The mean distance from the tumor to the nipple was 2.5 (2-4) cm. There were 2 patients with tumor stage 0 and 7 patients with stageⅠ. The mean operation time was 161.1 (125-201) min, the mean blood loss was 41.1 mL and the hospital stay time was 1.5 d. There were 5 patients in the day-care unit. All the patients were successfully followed up with a median follow-up time of 1 (1-2) month. One (11.1%) patient with depigmentation of the nipple-areola complex caused by mild ischemia. None of the patients had incision complications, subcutaneous emphysema, hematoma, infection, nipple-areola or skin flaps necrosis, implant loss. During the follow-up period, no local/regional recurrence or distant metastasis was found. Chest well-being was decreased in the first month after the surgery compared with preoperative status, and the difference was statistically significant (P=0.001). There was no statistical difference in the breast satisfaction or psychosocial function scores between pre- and post-operation (P>0.05). Conclusion E-NSM and immediate pre-pectoral implant-based BR with TiLoop Bra via single axillary incision has minimal trauma, rapid postoperative recovery, short operation time, few early complications and good early cosmetic effect, and the short-term result is satisfactory.
