title: Video-assisted skin-sparing breast-conserving surgery for breast cancer and immediate reconstruction with autologous tissue: clinical outcomes.
abstract: 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.
authors.affiliation: Department of Endocrine and Breast Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan. hiro@koto.kpu-m.ac.jp
authors.forename: Hiroo
authors.initials: H
authors.lastname: Nakajima
authors.forename: Ikuya
authors.initials: I
authors.lastname: Fujiwara
authors.forename: Naruhiko
authors.initials: N
authors.lastname: Mizuta
authors.forename: Koichi
authors.initials: K
authors.lastname: Sakaguchi
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Hachimine
authors.forename: Junji
authors.initials: J
authors.lastname: Magae
mesh_terms: 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