Bromberg Silvio Eduardo, Moraes Patricia Rodrigues Alves de Figueiredo, Ades Felipe
Centro de Oncologia, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Universidade Federal do Estado de São Paulo, São Paulo, Brazil.
PLoS One. 2018 Jan 18;13(1):e0191056. doi: 10.1371/journal.pone.0191056. eCollection 2018.
The prime incision technique is an oncoplastic surgery aimed to remove both the breast tumor and the sentinel lymph node through one incision, thus providing better aesthetic results than the conventional breast conservative two incision technique. We retrospectively evaluated 2 cohorts of 60 consecutive breast cancer patients operated by either conventional breast conservative surgery (N = 26) or one incision surgery (N = 34). There were no recurrence or death events observed in any group. No difference was seen regarding the incidence of surgical complications. In the prime incision group the breast volume removed was significantly lower than in the conventional surgery group as well as was the surgical time and the number of dissected lymph nodes. Aesthetical results were better in the one incision group. Further prospective studies are needed to validate the one incision technique as a surgical option for selected early stage breast cancer patients.
一期切口技术是一种肿瘤整形手术，旨在通过一个切口切除乳腺肿瘤和前哨淋巴结，因此与传统的乳腺保乳双切口技术相比，能提供更好的美学效果。我们回顾性评估了两组连续60例接受传统乳腺保乳手术（N = 26）或一期切口手术（N = 34）的乳腺癌患者。两组均未观察到复发或死亡事件。手术并发症的发生率没有差异。一期切口组切除的乳腺体积明显低于传统手术组，手术时间和清扫的淋巴结数量也更低。一期切口组的美学效果更好。需要进一步的前瞻性研究来验证一期切口技术作为特定早期乳腺癌患者手术选择的有效性。
