Yang Huangyun, Yan Guobiao, Chen Ming, Xian Jiayi, Zhou Wen, Guan Ziyun, Yao Chengcai
Department of Emergency Gynecology, Xiamen Women and Children's Hospital, Affiliated to Xiamen University, The Affiliated Women and Children's Hospital of Xiamen University, No. 10 Zhenhai Road, Siming District, Xiamen City, 361000, Fujian, People's Republic of China.
Department of Breast Surgery, School of Medicine, The Sixth Affiliated Hospital, South China University of Technology (SCUT), Nanhai District, Foshan City, 528225, Guandong, People's Republic of China.
Updates Surg. 2024 Dec;76(8):2933-2942. doi: 10.1007/s13304-024-01972-7. Epub 2024 Aug 30.
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.
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.
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.
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.
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).
传统的良性肿瘤切除术会在乳房皮肤表面留下疤痕，这对于年轻患者来说是不可接受的。我们评估了通过充气法经单一腋窝切口进行内镜下切除良性乳腺肿瘤的可行性及临床效果。
回顾性收集2022年6月至2023年7月接受该手术的62例患者的临床病理资料。分析手术成功率、切除肿瘤数量、手术时间、术中情况、术后并发症及临床结局。
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肿瘤所需时间短于切除位于外象限较小肿瘤的时间。62例患者术中出血减少，未出现皮肤灼伤、切口感染或愈合不良情况。然而，所有患者术后均出现不同程度的皮下气肿。14例患者出现轻微局部积液，3例患者出现轻度上肢功能障碍，均在1个月内恢复。在6个月的随访期内，无肿瘤复发或新发肿瘤病例。ABNSW评分高于14分，患者满意度高。
通过充气法经腋窝单一切口进行内镜下切除良性乳腺肿瘤可快速切除直径大于3.0 cm的病变。该方法还能使疤痕隐蔽，对乳房外形的美容效果良好。这是一种治疗良性乳腺肿瘤的新的有效方法。
本回顾性研究已在国家医学研究注册备案系统（https://www.medicalresearch.org.cn）注册（编号MR-44-22-007981），并在我院医学研究科备案（编号NYXJS-22-021）。
