Endoscopic resection of benign breast tumors via a single axillary incision using the insufflation method: a preliminary summary report.

IF 2.4 3区医学 Q2 SURGERY

Updates in Surgery Pub Date : 2024-12-01 Epub Date: 2024-08-30 DOI:10.1007/s13304-024-01972-7

Huangyun Yang, Guobiao Yan, Ming Chen, Jiayi Xian, Wen Zhou, Ziyun Guan, Chengcai Yao

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Abstract

Conventional benign tumor excision leaves scars on the skin surface of the breast, which is unacceptable for young patients. The feasibility and clinical results of endoscopic resection of benign breast tumors through a single axillary incision via an inflatable method were evaluated.

Methods: Clinicopathological data from 62 patients who underwent this procedure from June 2022 to July 2023 were retrospectively collected. The surgical success rate, number of tumors excised, operative time, intraoperative conditions, postoperative complications, and clinical outcomes were analyzed.

Results: A total of 144 benign tumors were resected, and the surgical success rate was 100% (62/62). The time required to resect tumors located in the inner quadrant with larger diameters was shorter than the time to resect tumors located in the outer quadrant with smaller tumors. Sixty-two patients experienced reduced intraoperative bleeding and did not experience skin burns, incision infections, or poor healing. However, all patients experienced varying degrees of subcutaneous emphysema during the postoperative period. Fourteen patients experienced minor local effusions, and 3 patients experienced mild upper limb dysfunction, which resolved within one month. During the six-month follow-up period, there were no cases of tumor recurrence or new tumors. The ABNSW score was above 14 points, and patient satisfaction was high.

Conclusion: Endoscopic resection of benign breast tumors through a single incision in the axilla via the inflatable method could quickly remove lesions larger than 3.0 cm. This method also results in hidden scars and good cosmetic effects on the shape of the breast. This is a new and effective treatment for benign breast tumors.

Trial registration: This retrospective study was registered in the National Medical Research Registry filing system ( https://www.medicalresearch.org.cn ) (No. MR-44-22-007981) and recorded in the Medical Research Division of our hospital (No. NYXJS-22-021).

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使用充气法通过单个腋窝切口进行内窥镜乳腺良性肿瘤切除术：初步总结报告。

传统的良性肿瘤切除术会在乳房皮肤表面留下疤痕，年轻患者无法接受。本研究评估了通过腋窝单切口充气内镜切除乳腺良性肿瘤的可行性和临床效果：方法：回顾性收集了 2022 年 6 月至 2023 年 7 月期间接受该手术的 62 例患者的临床病理资料。分析了手术成功率、切除肿瘤数量、手术时间、术中情况、术后并发症和临床结果：结果：共切除 144 个良性肿瘤，手术成功率为 100%（62/62）。切除位于内象限、直径较大的肿瘤所需的时间短于切除位于外象限、直径较小的肿瘤所需的时间。62名患者术中出血减少，没有出现皮肤灼伤、切口感染或愈合不良。不过，所有患者在术后都出现了不同程度的皮下气肿。14 名患者出现了轻微的局部渗出，3 名患者出现了轻微的上肢功能障碍，这些症状在一个月内缓解。在六个月的随访期间，没有出现肿瘤复发或新肿瘤的病例。ABNSW评分超过14分，患者满意度很高：结论：通过充气法在腋下单切口进行内窥镜乳腺良性肿瘤切除术可以快速切除大于 3.0 厘米的病灶。结论：通过充气法在腋下单切口进行内窥镜乳腺良性肿瘤切除术，可以快速切除大于 3.0 厘米的病灶，而且疤痕隐蔽，乳房外形美观。这是一种新的、有效的乳腺良性肿瘤治疗方法：本回顾性研究已在国家医学研究登记备案系统（https://www.medicalresearch.org.cn）登记（编号：MR-44-22-007981），并在我院医学研究部备案（编号：NYXJS-22-021）。

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来源期刊

Updates in Surgery Medicine-Surgery

CiteScore

4.50

自引率

7.70%

发文量

208

期刊介绍： Updates in Surgery (UPIS) has been founded in 2010 as the official journal of the Italian Society of Surgery. It’s an international, English-language, peer-reviewed journal dedicated to the surgical sciences. Its main goal is to offer a valuable update on the most recent developments of those surgical techniques that are rapidly evolving, forcing the community of surgeons to a rigorous debate and a continuous refinement of standards of care. In this respect position papers on the mostly debated surgical approaches and accreditation criteria have been published and are welcome for the future. Beside its focus on general surgery, the journal draws particular attention to cutting edge topics and emerging surgical fields that are publishing in monothematic issues guest edited by well-known experts. Updates in Surgery has been considering various types of papers: editorials, comprehensive reviews, original studies and technical notes related to specific surgical procedures and techniques on liver, colorectal, gastric, pancreatic, robotic and bariatric surgery.