Clinical Oncology最新文献

A Retrospective Study of the Dual-Main Surgeons’ Endoscopy-Assisted Insufflation Bilateral Nipple-Sparing Mastectomy with Immediate Implant Reconstruction 双主刀医生内窥镜辅助充气双侧乳头分离乳房切除术与即刻假体重建的回顾性研究

Clinical Oncology Pub Date : 2024-01-18 DOI: 10.60125/j.conco.2023.10.05

Haiyan Li, Lina Wei, Ziteng Liu, Qingyu Yang, S. Lai, Ying Zhang, Zongyan Li

{"title":"A Retrospective Study of the Dual-Main Surgeons’ Endoscopy-Assisted Insufflation Bilateral Nipple-Sparing Mastectomy with Immediate Implant Reconstruction","authors":"Haiyan Li, Lina Wei, Ziteng Liu, Qingyu Yang, S. Lai, Ying Zhang, Zongyan Li","doi":"10.60125/j.conco.2023.10.05","DOIUrl":"https://doi.org/10.60125/j.conco.2023.10.05","url":null,"abstract":"Background: Endoscopy-assisted breast surgery (EABS) is widely accepted, especially for young breast cancer women. But single-main surgeon’s EABS (SMS-EABS) has a long operation time and lots of blood loss during the surgery. Therefore, we advocate applying dual-main surgeons’ EABS (DMS-EABS) to improve surgical technique. Materials and Methods: This retrospective cohort study analyzed 34 patients with endoscopy-assisted insufflation bilateral nipple-sparing mastectomy with immediate implant reconstruction from March 2021 to December 2023 in The Sixth Affiliated Hospital of Sun Yat-sen University medical database and compared the blood loss, operation time, post-operation hospital stay, implant volume, operation costs, operation complications and breast-Q questionnaire between SMS-EABS and DMS-EABS with statistical analysis. Results: The blood loss (29.38 ml vs 51.67 ml, p<0.05) and operation time (4.38 h vs 5.56 h, p=0.01) in the DMS-EABS group are significantly better than SMS-EABS. There is no statistical difference in post-operation hospital stay, implant volume, operation costs, operation complications, and aesthetic evaluation between the two groups. Conclusion: DMS-EABS has the advantage of reducing blood loss and operation time and it also keeps its aesthetic advantages as same as SMS-EABS. Therefore, it can be widely applied.","PeriodicalId":504586,"journal":{"name":"Clinical Oncology","volume":"120 43","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139613956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}