Single-Port Three-Dimensional (3D) Videoscope-Assisted Endoscopic Nipple-Sparing Mastectomy in the Management of Breast Cancer: Technique, Clinical Outcomes, Medical Cost, Learning Curve, and Patient-Reported Aesthetic Results from 80 Preliminary Procedures

doi:10.1245/s10434-021-09964-2

中山醫學大學機構典藏 CSMUIR > 中山醫學大學研究成果 > 期刊論文 > Item 310902500/23798

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题名:	Single-Port Three-Dimensional (3D) Videoscope-Assisted Endoscopic Nipple-Sparing Mastectomy in the Management of Breast Cancer: Technique, Clinical Outcomes, Medical Cost, Learning Curve, and Patient-Reported Aesthetic Results from 80 Preliminary Procedures
作者:	Lai, HW;Chen, ST;Mok, CW;Chang, YT;Lin, SL;Lin, YJ;Chen, DR;Kuo, SJ
日期:	2021
上传时间:	2022-08-05T09:43:03Z (UTC)
出版者:	SPRINGER
ISSN:	1068-9265
摘要:	Background The preliminary results of an innovative surgical technique, which incorporated single-port three-dimensional (3D) videoscope and instruments for endoscopic nipple-sparing mastectomy (E-NSM), were reported. Methods The medical records of patients who underwent single-port 3D E-NSM for breast cancer from August 2018 to September 2020 were analyzed, and the preliminary outcome of this procedure as well as the patient-reported aesthetic results are described in this article. Results The study enrolled 70 patients who received 80 procedures of single-port 3D E-NSM. The mean operation time was 158 +/- 36 min, and the mean blood loss was 41 +/- 26 ml. Three procedures (3.8 %) associated with delayed axillary wound-healing, eight cases of transient nipple ischemia (10 %), three cases of partial nipple ischemia/necrosis (3.7 %), and one case of total nipple-areolar complex (NAC) necrosis (1.3 %) were observed. No patient had margin involvement. Satisfaction rates of approximately 90 % were observed in terms of postoperative scar appearance, location, and length. Most of the patients (87.8 %) reported that they would choose the same operation again if given the chance to do so. The overall cost of a single-port 3D E-NSM was 7522 +/- 470 U.S. dollars. According to cumulative sum (CUSUM) plot analysis, about 14 cases were needed for surgeons to familiarize themselves with single-port 3D E-NSM and immediate gel implant reconstruction and to decrease their operation time significantly in the initial learning phase. Conclusion Single-port 3D E-NSM, a safe, efficient, lower-cost procedure, is associated with a good aesthetic result. It is a promising new technique for breast cancer patients indicated for mastectomy, but long-term oncologic safety follow-up evaluation still is needed.
URI:	http://dx.doi.org/10.1245/s10434-021-09964-2 https://www.webofscience.com/wos/woscc/full-record/WOS:000645962000001 https://ir.csmu.edu.tw:8080/handle/310902500/23798
關聯:	ANNALS OF SURGICAL ONCOLOGY ,2021,v28,issue 12, P7331-7344
显示于类别:	[中山醫學大學研究成果] 期刊論文

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