Retrospective study of "integrated prevention strategy" in preventing nipple and areola ischemia after single-port endoscopic subcutaneous mastectomy
10.3760/cma.j.cn115396-20230205-00016
- VernacularTitle:"一体化预防策略"用于预防单孔腔镜乳房皮下腺体切除术后乳头乳晕缺血的回顾性研究
- Author:
Jiankun XING
1
;
Zihan WANG
;
Wei XU
;
Guoqian DING
;
Xiaobao YANG
;
Guoxuan GAO
;
Xiang QU
Author Information
1. 首都医科大学附属北京友谊医院麻醉手术中心，北京 100050
- Keywords:
Breast neoplasms;
Thoracoscopes;
Postoperative complications;
Nipple sparing mastectomy
- From:
International Journal of Surgery
2023;50(2):81-85,f3
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the preventive value of "integrated prevention strategy" for nipple and areola ischemia after single-port endoscopic subcutaneous mastectomy.Methods:The clinical data of 72 patients with breast cancer who received single-port endoscopic subcutaneous mastectomy in Beijing Friendship Hospital, Capital Medical University from July 2019 to July 2021 were retrospectively analyzed, they were all female. The follow-up period was up to July 2022. According to the perioperative treatment methods, the patients were divided into observation group ( n=40) and control group ( n=32). The patients in the observation group who adopted the "integrated prevention strategy" scheme, and patients in the control group who adopted the conventional treatment scheme. The incidence of postoperative nipple and areola ischemic was compared between the two groups, and the postoperative cosmetic effect, quality of life and satisfaction of patients were evaluated. Measurement data were expressed as mean ± standard deviation ( ± s), and t-test was used for comparison between groups; the Chi-square test was used to compare the data groups. Results:The postoperative drainage volume in the observation group was significantly lower than that in the control group [(632.40±226.37) mL vs (774.91±239.85) mL], and the difference was statistically significant ( P=0.013). Two weeks after operation, there was 1 case of nipple and areola ischemia in the observation group, and 7 cases in the control group, the difference was statistically significant between the two groups ( P=0.019). Twelve months after operation, the score of breast satisfaction (83.93±11.64 vs 67.28±11.52), chest satisfaction (89.63±8.06 vs 83.03±9.49) and psychosocial well-being (89.43±12.42 vs 78.88±10.40) in the observation group were better than those in the control group, the differences were statistically significant ( P<0.05). Conclusion:"Integrated prevention strategy" can effectively prevent the occurrence of nipple and areola ischemic after single-port endoscopic subcutaneous mastectomy and improve patient satisfaction, which has certain promotion value.
