Nakajima Hiroo, Fujiwara Ikuya, Mizuta Naruhiko, Sakaguchi Koichi, Hachimine Yasushi, Magae Junji
Department of Endocrine and Breast Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Ann Surg Oncol. 2009 Jul;16(7):1982-9. doi: 10.1245/s10434-009-0429-1. Epub 2009 Apr 24.
This study analyzed clinical results of video-assisted breast-conserving surgery for breast cancer.
Video-assisted breast-conserving surgery is indicated for breast cancer that has not invaded the skin. A skin incision is made at an inconspicuous site. Skin-sparing partial mastectomy was performed endoscopically on 244 patients (stage I, n = 94; stage II, n = 150). Morbidity, curability, and patient satisfaction were analyzed.
Skin necrosis was seen in nine patients. Local recurrence was seen in 13 patients (mean postoperative interval 65.3 months). Distant metastasis-free survival at 60 months was 93.6% for stage I and 90.5% for stage II. Overall survival was 95.7% for stage I and 96.9% for stage II. Satisfaction with surgery as investigated by questionnaire was "good" for 72.3% of patients.
Video-assisted breast-conserving surgery showed no increases in local or distant recurrence and patient satisfaction was high. Video-assisted breast-conserving surgery appears useful for local treatment of breast cancer.
本研究分析了乳腺癌保乳手术的临床结果。
视频辅助保乳手术适用于未侵犯皮肤的乳腺癌。在不显眼的部位做皮肤切口。对244例患者（I期，n = 94；II期，n = 150）进行了内镜下保留皮肤的部分乳房切除术。分析了发病率、治愈率和患者满意度。
9例患者出现皮肤坏死。13例患者出现局部复发（术后平均间隔65.3个月）。I期患者60个月的无远处转移生存率为93.6%，II期为90.5%。I期患者的总生存率为95.7%，II期为96.9%。通过问卷调查，72.3%的患者对手术的满意度为“良好”。
视频辅助保乳手术未增加局部或远处复发，患者满意度高。视频辅助保乳手术似乎对乳腺癌的局部治疗有用。
