Comparison Between Endoscope-assisted Partial Mastectomy With Filling of Dead Space Using Absorbable Mesh and Conventional Conservative Method on Cosmetic Outcome in Patients With Stage I or II Breast Cancer

作者：Takemoto Nobuyuki^*; Koyanagi Ai; Yamamoto Hiroshi

来源：Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 2012, 22(1): 68-72.

DOI：10.1097/SLE.0b013e3182414b25

• breast cancer
• endoscopic surgery
• cosmetic outcome
• tumor location

Background: Studies comparing cosmetic outcome between conventional conservative method (CCM) and endoscope-assisted partial mastectomy (EAPM) are scarce.
Patients and Methods: A total of 111 patients with stage I or II breast cancer who underwent CCM (n = 51) or EAPM (n = 60) were reviewed. Evaluation of cosmetic outcome consisted of a 3-level scoring method; breast retraction assessment (0-2), nipple deviation (0-2), atrophy (0-2), skin change (0-2), and scar (0-2). Total scores >= 7 were considered satisfactory. Score 2 was considered satisfactory for analysis by each scoring criterion.
Results: EAPM had a higher rate of satisfactory results compared with CCM (71.7% vs. 52.9%; P = 0.042), particularly for atrophy (55.0% vs. 29.4%; P = 0.007), and scar (55.0% vs. 31.4%; P = 0.012) and for location B (70.0% vs. 12.5%; P = 0.025).
Conclusions: EAPM is superior to CCM for postoperative cosmetic outcome with respect to atrophy, scar, and lower tumor location.

• 出版日期2012-2