Effect study of laparoscopic treatment for gynecomastia in different ways
Objective To investigate the result of different laparoscopic operative approach in the treatment of gynecomastia(GYN).Methods A total of 87 cases of gynecomastia undergoing endoscopic surgery in the Cancer Hospital Affiliated to Xinjiang Medical University from June 2017 to November 2022 were retrospectively analyzed,and they were divided into three-well group(27 cases),single-well group(32 cases)and single-well non-soluble group(28 cases)according to the surgical method.The operation time,drainage tube removal time,and complications of the three groups were compared.Postoperative aesthetics of the three groups were evaluated before and after one month of operation.Results The operative time of the three-well group was shorter than that of the single-well group and the single-well non-soluble group,and the operative time of the single-well group was shorter than that of the single-well non-soluble group,the differences were statistically significant(P＜0.05).There was no significant difference in drainage tube extraction time among the three groups(P＞0.05).There was no significant difference in the incidence of total complications among the three groups(P＞0.05).There were no significant differences in breast symmetry,nipple shape,areola shape,and thoracic flatness among the three groups(P＞0.05).The surgical scar score in the single-well group and the single-well non-soluble group was higher than that in the three-well group,with statistical significance(P＜0.01).There was no significant difference in scar scores between the single-well group and the single-well non-soluble fat group(P＞0.05).The overall appearance score of the single-well group and the single-well non-soluble group was higher than that of the three-well group(P＜0.05),and the overall appearance score of the single-well non-soluble group was higher than that of the single-well group(P＜0.05).Conclusion Three well method has the advantages of convenient operation and high efficiency.Single-well approach has advantages of concealed incision and good aesthetics.Non-soluble approach is more suitable for patients with overweight body type and thick subcutaneous fat.
GynecomastiaMastectomySubcutaneousMas-toscopyMinimally invasive surgery
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