A retrospective cohort study on the short-term clinical efficacy of single-port assisted endoscopic breast conserving surgery versus conventional open approach for breast cancer
A retrospective cohort study on the short-term clinical efficacy of single-port assisted endoscopic breast conserving surgery versus conventional open approach for breast cancer
Objective To compare the short-term clinical efficacy and patient satisfaction of single-port assisted endoscopic breast-conserving surgery versus open approach in the treatment of female breast cancer patients.Methods This study retrospectively analyzed the clinical data of 129 female breast cancer patients admitted to Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University from March 2022 to June 2023.In this study,56 patients underwent breast-conserving surgery assisted by single-port endoscopy(endoscopic group)and 73 patients underwent conventional open breast-conserving surgery(conventional group).Results Compared to the conventional group(73 cases),the endoscopic group(56 cases)had slightly longer operation time[(200.0±43.2)min vs.(185.3±56.5)min]and intraoperative blood loss[(34.0±25.4)ml vs.(27.2±21.8)ml,P＞0.05].The endoscopic group had a significantly shorter surgical incision length than the conventional group[(4.7±0.7)cm vs.(8.0±1.1)cm,P＜0.05],the difference in postoperative tumor margin was not significant(endoscopic group:3.5％vs.conventional group:5.7％,P＞0.05).In terms of postoperative complications,the endoscopic group had a significantly lower incidence of radiation-related skin reactions than the conventional group(P＜0.05).The endoscopic group had a higher satisfaction rate in terms of postoperative aesthetics(73.2％vs.56.2％,P＜0.05).Conclusions The short-term clinical efficacy of breast-conserving surgery for female breast cancer by single-port assisted endoscopy is not inferior to that of conventional open breast-conserving surgery,with added better cosmetic results.
关键词
乳腺肿瘤/保乳手术/腔镜手术
Key words
Breast neoplasms/Breast conserving surgery/Endoscopy
维普
万方数据