Efficacy of single-port endoscopic mastectomy plus immediate total pectoral muscle reconstruction with breast implants
Objective To observe the efficacy of single-port endoscopic nipple-sparing mastectomy(NSM)plus immediate total pectoral muscle reconstruction with breast implants in patients with breast cancer(breast volume＜300 mL),and to explore its safety.Methods Twenty-two small and medium-volume breast patients with breast cancer underwent transaxillary single-port endoscopic NSM and immediate total pectoral muscle reconstruction with breast implants in Cancer Hospital Affiliated to Zhengzhou University from August 2021 to August 2023,and their clinical data were retrospectively analyzed.The surgical time,intrasurgical blood loss,surgical procedures,postsurgical drainage volume,length of postsurgical hospital stay,and postsurgical complications as incision infection,incision dehiscence,flap ischemic necrosis,movement deformity,chest wall pain,and subcutaneous emphysema hematoma were recorded.Those with axillary lymph node dissection underwent postsurgical radiotherapy to the breast and armpit.Patients were followed up postsurgically in the outpatient clinic every 3 months,and the recurrence,distant metastasis,death,patients'satisfaction with the breast reconstruction,and prosthesis removal and capsular contracture in those receiving radiotherapy were recorded.Results All surgeries were successfully completed,with no intrasurgical conversion to open surgery.The surgery lasted for(220.0±12.8)min,the intrasurgical blood loss was(35.0±4.5)mL,the postsurgical drainage volume was(480±36)mL,and the postsurgical hospital stay was 14(10,20)d.Ten patients were subjected to axillary lymph node dissection and subsequent regional radiotherapy.The median follow-up was 24 months,revealing a survival in all patients.No recurrence or metastasis occurred.The patients were satisfied with the breast reconstruction outcome.No prosthesis removal or capsular contracture was found.Conclusions Transaxillary single-port endoscopic NSM plus immediate total pectoral muscle reconstruction with breast implants is safe and effective for small and medium-volume breast patients with breast cancer.The breast reconstruction outcome is satisfied and the postsurgical complication is few.
breast cancersmall and medium-volume breastsingle-port endoscopynipple-sparing mastectomytotal pectoral muscle reconstruction with breast implants
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