Direct-to-implant breast reconstruction after bilateral mastectomy: A comparison between endoscopic and conventional open surgery
- VernacularTitle:双侧乳房切除术后即刻植入物乳房重建：腔镜与传统开放手术的比较
- Author:
Juan LI
1
,
2
,
3
;
Qing TANG
4
;
Yu FENG
4
;
Mengxue QIU
4
;
Jiao ZHOU
4
;
Xiangquan QIN
4
;
Xinran LIU
4
;
Huanzuo YANG
4
;
Zhenggui DU
5
,
6
Author Information
1. 1. Department of Breast Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China；2. Department of Breast Surgery, Sichuan Academy of Medical Sciences ·
2. Sichuan Province People'
3. s Hospital, Chengdu, 610072, P. R. China
4. Department of Breast Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
5. 1. Department of Breast Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
6. 3. Breast Disease Research Center, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
- Publication Type:Journal Article
- Keywords:
Breast tumor;
bilateral reconstruction;
endoscopic surgery;
traditional open surgery
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(01):32-38
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the differences of clinical effects between the bilateral endoscopic breast reconstruction and the open breast reconstruction. Methods The clinical data of 28 female patients who underwent bilateral breast graft reconstruction in the Department of Breast Surgery of West China Hospital from January 2017 to January 2021 were analyzed retrospectively. The patients were divided into two groups: an endoscopic group (n=12, aged 41.3±8.9 years) and an open group (n=16, aged 41.6±8.8 years). The clinical data of the two groups of patients were compared. Results There was no significant difference in demographic and oncological data between the two groups (P>0.05). There was a significant difference in the implants between the two groups (P=0.008). The operation time (298.2±108.6 min vs. 326.5±95.8 min, P=0.480) and anesthesia time (373.4±91.2 min vs. 400.3±97.1 min, P=0.463) were not significantly different. The total complications (P=0.035) and major complications (P=0.024) in the open group were more than those in the endoscopic group. For the comparison of breast satisfaction, psychosocial well-being and sexual well-being, the scores at six months and one year after surgery were higher in the endoscopic group than those in the open group (P<0.05). Conclusion The endoscopic reconstruction is safe and effective, with high satisfaction rates regarding breast reconstruction and quality of life, and is superior to conventional open surgery.
