Department of Surgery, Post Graduate Institute of Medical Education & Research (P.G.I.M.E.R.), Chandigarh, India.
Department of Surgery, Post Graduate Institute of Medical Education & Research (P.G.I.M.E.R.), Chandigarh, India.
Am J Surg. 2018 Dec;216(6):1166-1170. doi: 10.1016/j.amjsurg.2017.09.016. Epub 2017 Sep 21.
We present a new approach for BCS which we have named as the Lateral Oncoplastic Breast Surgery (LOBS) approach.
Patients with biopsy proven breast cancer or phyllodes tumors in the outer quadrants of the breast were selected. The patients were operated in the lateral position using the principles of a Level 1 oncoplastic technique.
106 patients (93 breast cancer; 13 phyllodes tumor) were operated using this technique. For patients with breast cancer the mean tumor size was 2.7 cms. 3 patients had a positive margin. The mean tumor size for phyllodes tumors was 6.7 cms. Surgical site infections (15 patients), marginal skin necrosis (2 patients) and superficial NAC necrosis (1 patient) were observed. Although the mean follow up was only 355.8 days there were no early detected recurrences.
LOBS is a new approach for BCS which offers distinct advantages. The short term results, both oncological and aesthetic, are encouraging.
A new approach for performing oncoplastic breast conserving surgery (BCS) is described and the short term results of our first 106 cases are presented. Advantages of this approach over conventional techniques are reviewed.
我们提出了一种新的保乳术（BCS）方法，我们称之为外侧肿瘤整形乳房手术（LOBS）方法。
选择在外象限有活检证实的乳腺癌或叶状肿瘤的患者。患者采用外侧体位，采用 1 级肿瘤整形技术的原则进行手术。
106 例患者（93 例乳腺癌；13 例叶状肿瘤）采用该技术进行手术。对于乳腺癌患者，肿瘤平均大小为 2.7cm。3 例患者切缘阳性。叶状肿瘤的平均肿瘤大小为 6.7cm。观察到 15 例患者出现手术部位感染、2 例患者出现边缘皮肤坏死和 1 例患者出现浅层 NAC 坏死。尽管平均随访时间仅为 355.8 天，但没有早期发现复发。
LOBS 是一种新的保乳术方法，具有明显的优势。短期的肿瘤学和美学结果令人鼓舞。
描述了一种新的进行肿瘤整形保乳术（BCS）的方法，并介绍了我们的前 106 例病例的短期结果。回顾了这种方法相对于传统技术的优势。
