Video-assisted skin-sparing breast-conserving surgery for breast cancer and immediate reconstruction with autologous tissue: clinical outcomes.
BACKGROUND
This study analyzed clinical results of video-assisted breast-conserving surgery for breast cancer.


METHODS
Video-assisted breast-conserving surgery is indicated for breast cancer that has not invaded the skin. A skin incision is made at an inconspicuous site. Skin-sparing partial mastectomy was performed endoscopically on 244 patients (stage I, n = 94; stage II, n = 150). Morbidity, curability, and patient satisfaction were analyzed.


RESULTS
Skin necrosis was seen in nine patients. Local recurrence was seen in 13 patients (mean postoperative interval 65.3 months). Distant metastasis-free survival at 60 months was 93.6% for stage I and 90.5% for stage II. Overall survival was 95.7% for stage I and 96.9% for stage II. Satisfaction with surgery as investigated by questionnaire was "good" for 72.3% of patients.


CONCLUSIONS
Video-assisted breast-conserving surgery showed no increases in local or distant recurrence and patient satisfaction was high. Video-assisted breast-conserving surgery appears useful for local treatment of breast cancer.
Nakajima
Hiroo
H
Department of Endocrine and Breast Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan. hiro@koto.kpu-m.ac.jp
Fujiwara
Ikuya
I
Mizuta
Naruhiko
N
Sakaguchi
Koichi
K
Hachimine
Yasushi
Y
Magae
Junji
J
D001943:Breast Neoplasms / Q000601:surgery*; D004724:Endoscopy; D005260:Female; D006801:Humans; D016462:Mammaplasty; D015412:Mastectomy, Segmental; D008875:Middle Aged; D016896:Treatment Outcome; D020535:Video-Assisted Surgery