Single-port inflatable endoscope-assisted breast-conserving surgery via axillary approach in patients with breast cancer
Objective To analyze the outcome of single-port inflatable endoscope-assisted breast-conserving surgery via axillary approach in patients with breast cancer,and to investigate its safety.Methods Thirty-five patients with breast cancer underwent single-port inflatable endoscope-assisted breast-conserving surgery via axillary approach in the First Affiliated Hospital of Zhejiang University School of Medicine from June 2021 to April 2023.The operation time,intraoperative blood loss and axillary lymph node dissection were recorded.The patients were followed up to observe the short-term(＜3 months)complications as subcutaneous emphysema,infection of the incision and operative field,and flap necrosis,as well as long-term(＞3 months)complications as adhesion of skin in the operative field to the pectoral major muscle,tumor recurrence and breast cosmetic effect.Results(1)Single-port inflatable endoscope-assisted breast-conserving surgery via axillary approach was performed successfully in all patients,with no intraoperative transfer to open surgery.The average length of incisions was(3.40±0.14)cm,the intraoperative blood loss was(12.14± 0.83)mL,and the operation lasted for(152.83±4.92)min.Axillary lymph node dissection was performed in 10 patients.The postoperative histopathological results confirmed no residual tumor cells in the resection margin and superficial tissues of tumors.(2)The follow-up was done till August 2023,with the median follow-up time of 15(3,25)months,showing no complications such as subcutaneous emphysema,active bleeding,fat liquefaction of incision,seroma and flap necrosis.The shape of the affected breast was satisfactory,with no skin adhesion to the pectoral major muscle,local depression deformity or tumor recurrence/metastasis.Incision infection occurred in 1 patient 1 week after discharge,and mild upper limb lymph edema occurred in 1 patient 4 months after operation,who recovered after symptomatic treatment.Conclusion Single-port inflatable endoscope-assisted breast-conserving surgery via axillary approach may achieve a satisfied curative effect,with less postoperative complications.
breast cancersingle-port endoscope-assisted surgerybreast-conserving surgery
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NSTL
万方数据
维普
