Surgical technique and clinical effect of endoscopic assisted transaxillary breast tumor resection with the help of HUAXI Hole 3
- VernacularTitle:基于华西三号孔的腋窝入路腔镜乳腺良性肿瘤切除及恶性肿瘤保乳术技巧与疗效分析
- Author:
Mengxue QIU
1
;
Huanzuo YANG
1
;
Jiao ZHOU
1
;
Yu FENG
1
;
Xiangquan QIN
1
;
Juan LI
2
,
3
,
4
,
5
;
Xinran LIU
1
;
Li XU
1
;
Zhenggui DU
2
,
6
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.Department of Breast Surgery, Sichuan Academy of Medical Sciences ·
4. Sichuan Province People&rsquo
5. s Hospital, Chengdu, 610072, P. R. China
6. 3. Center for Breast Disease Treatment, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
- Publication Type:Journal Article
- Keywords:
Breast cancer;
benign breast tumors;
endoscopy;
breast conserving surgery;
breast tumor resection
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(03):350-356
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the surgical technique and clinical effect of endoscopic assisted transaxillary breast tumor resection in the treatment of benign and malignant breast tumors. Methods The clinical data of 18 patients received endoscopic breast tumor resection from September 2020 to December 2021 in the Department of Breast Surgery, West China Hospital, Sichuan University, were retrospectively analyzed to evaluate the feasibility, tumor safety and postoperative cosmetic effect. There were 7 patients with benign breast tumors (a benign breast tumor group) and 11 patients with early breast cancer (a malignant breast tumor group). Breast-Q and Scar-Q questionnaires were used to evaluate postoperative quality of life and satisfaction of patients. Results Endoscopic breast tumor resection was performed successfully in 18 female patients, among whom 12 patients received day surgery. The mean age of benign and malignant breast tumor groups was 29.6±11.6 years and 46.7±14.3 years, the mean tumor size in pathological examination was 3.3±2.1 cm and 2.0±0.8 cm, and the operative time was 138.9±57.0 min and 177.3±46.3 min, respectively. One patient had positive resection margin and underwent intraoperative extended resection in the malignant breast tumor group. All the patients were successfully followed up, and the mean follow-up time of benign and malignant breast tumor groups was 6.8±4.0 months and 8.7±4.9 months, respectively. No complications or tumor recurrence occurred. The scores of psychosocial status, sexual well-being, chest wall status and breast satisfaction decreased one month after surgery and basically recovered to the preoperative level in one year, and the score of scar appearance increased to 64.6±5.9 points one year postoperatively. Conclusion Endoscopic assisted transaxillary breast tumor resection can effectively improve postoperative cosmetic effect and patient satisfaction on the premise of safety.
