Complete endoscopic subcutaneous mastectomy：a report of 96 cases

doi:10.3877/cma.j.issn.1674-0807.2008.04.004

Abstract

Abstract:

Objective

To explore the procedures and efficacy of complete endoscopic subcutaneous mastectomy for gynaecomastia and breast cancer.

Methods

Ninety-six patients with gynaecomastia or breast cancer admitted to our hospital from August 2004 to October 2007 underwent complete endoscopic subcutaneous mastectomy.The space of endoscopic operation was established with insufflation carbon dioxide after lipolysis and liposuction of subcutaneous and retromammary spaces.Then the gland was resected thoroughly by abscinding the fibers between skin and mammary gland and separating the attachments between marginal gland and fascia.In addition，the breast cancer patients underwent sentinel lymph node biopsy，axillary lymph node dissection，immediate reconstruction with implants and regular adjuvant therapies.All patients were followed up for 3 months to 3 years to observe the safety and cosmetic results of operation.

Results

The complete endoscopic subcutaneous mastectomy was carried out in 156 cases of 96 patients.The mean operation time was 71 minutes，ranging 35-125 minutes，and the intraoperative blood loss ranged from 30 ml to 170 ml，with an average of 94 ml.The complications were found in 4 cases（2.6%），including partial necrosis of unilateral nipple in 3 cases and local subcutaneous seroma in 1 case.The appearances of chest wall were satisfying in 94 cases（97.9%）and no recurrence or metastasis occurred during the following-up period.

Conclusion

Complete endoscopic subcutaneous mastectomy，with few complications，high safety and fine cosmetic result，is a reasonable choice for gynaecomastia and early breast cancer.

Key words: Subcutaneous mastectomy, ynaecomastia, Breast neoplasms, Endoscope

Lin-jun FAN, Jun JIANG, Xin-hua YANG, Yi ZHANG, Xian-chun CHEN, Ling ZHONG. Complete endoscopic subcutaneous mastectomy：a report of 96 cases[J]. Chinese Journal of Breast Disease(Electronic Edition), 2008, 02(04): 407-416.

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Figures/Tables 6

References 14

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