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Gasless endoscopic transaxillary subcutaneous mastectomy and immediate reconstruction with implants (GETSMIRI) for breast cancer: Lei's five-step method.
Nijiati, Aierken; Cui, Lingfei; Wang, Xidi; Xing, Zhaomin; Zhang, Mingxia; Yuan, Zhuolin; Xie, Wenyu; Lei, Kefeng.
Afiliación
  • Nijiati A; Department of General Surgery, The Seventh Affiliated Hospital of Sun Yat-Sen University, 628th Zhenyuan Road, Shenzhen, Guangdong, 518107, China.
  • Cui L; Department of General Surgery, The Seventh Affiliated Hospital of Sun Yat-Sen University, 628th Zhenyuan Road, Shenzhen, Guangdong, 518107, China.
  • Wang X; Department of General Surgery, The Seventh Affiliated Hospital of Sun Yat-Sen University, 628th Zhenyuan Road, Shenzhen, Guangdong, 518107, China.
  • Xing Z; Department of General Surgery, The Seventh Affiliated Hospital of Sun Yat-Sen University, 628th Zhenyuan Road, Shenzhen, Guangdong, 518107, China.
  • Zhang M; Department of General Surgery, The Seventh Affiliated Hospital of Sun Yat-Sen University, 628th Zhenyuan Road, Shenzhen, Guangdong, 518107, China.
  • Yuan Z; Department of General Surgery, The Seventh Affiliated Hospital of Sun Yat-Sen University, 628th Zhenyuan Road, Shenzhen, Guangdong, 518107, China.
  • Xie W; Medical School of Sun Yat-Sen University, 66th Gongchang Road, Shenzhen, Guangdong, 518107, China.
  • Lei K; Department of General Surgery, The Seventh Affiliated Hospital of Sun Yat-Sen University, 628th Zhenyuan Road, Shenzhen, Guangdong, 518107, China.
Heliyon ; 10(1): e23446, 2024 Jan 15.
Article en En | MEDLINE | ID: mdl-38163137
ABSTRACT

Background:

Endoscopic nipple-sparing mastectomy (E-NSM) is a promising procedure in the treatment of breast cancer, but the limitations of endoscopic tools and intrinsic technical complexity of the technique hinder its applicability. Here, we introduce a novel surgery, gasless endoscopic transaxillary subcutaneous mastectomy and immediate reconstruction with implants (GETSMIRI), for breast cancer. and early effects.

Methods:

A retrospective analysis of the clinical data of 11 female patients, aged 50 (27-78) years, admitted to our hospital from January to December 2022, who underwent gasless endoscopic transaxillary subcutaneous mastectomy and immediate reconstruction with implants (GETSMIRI), was conducted. This study was designed to assess patient satisfaction before and after breast reconstruction, early complications, and breast function.

Results:

The tumors were all solitary, with a mean maximum diameter of 1.0 (0-2.0) cm and a mean distance of 2.3 (2-4) cm from the nipple, the mean intraoperative bleeding volume was 47.5 mL, and the mean hospital stay was 1.5 d. Postoperatively, 1 patient developed depigmentation of the nipple due to mild ischemia. There were no incisional complications, subcutaneous emphysema, infection, areola necrosis, skin flap necrosis, or removal of the prosthesis and/or patch. No tumor recurrence or metastasis was observed during the follow-up period. The difference between breast satisfaction and psychosocial health scores was not statistically significant (P = 0.680; P = 0.612).

Conclusion:

GETSMIRI, immediate implantable breast reconstruction, is less invasive than other such procedures, and short-term follow-up results show good postoperative satisfaction, making it an alternative surgical method.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Heliyon Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Heliyon Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido