Journal of Capital Medical University ›› 2016, Vol. 37 ›› Issue (3): 341-345.doi: 10.3969/j.issn.1006-7795.2016.03.017

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Clinical application of nipple areola complex sparing modified mastoscopic mastectomy with one-stage reconstruction

Cui Zhimiao, Luo Chengyu, Li Xin, Liu Baoyin, Ding Yi   

  1. Department of General Surgery, Fuxing Hospital, Capital Medical University, Beijing 100038, China
  • Received:2016-03-25 Online:2016-06-21 Published:2016-06-13

Abstract: Objective To investigate the safety and feasibility of the nipple areola complex (NAC) sparing modified radical mastoscopic mastectomy with one-stage reconstruction in treatment of early stage breast cancer. Methods From March 2012 to November 2015, a total of 46 breast cancer cases, according to their own choice, received NAC sparing mastoscopic modified radical mastectomy with one-stage reconstruction (experiment group, 23 cases),or NAC sparing mastoscopic modified radical mastectomy (control group, 23 cases), respectively. The operative time, operative blood loss, lymph node harvested, drainage flow, drainage duration, complication, recurrence, metastasis and postoperative appearance evaluation were compared between the two groups. Results The operative time, operative blood loss, lymph node harvested, drainage flow, drainage duration showed no statistically significant difference between the two groups (P >0.05). All the cases were followed up, there were no postoperative complications, recurrences and metastasis observed. The postoperative appearance evaluation satisfactory rates (95.65% vs 65.22%)in experiment group was significantly higher than that of control group (P <0.05). Conclusion NAC sparing mastoscopic mastectomy with one-stage reconstruction is safe and feasible for early breast cancer, and cosmetic effect and postoperative satisfactory rate is significantly superior to NAC sparing mastoscopic modified radical mastectomy.

Key words: breast cancer, mastoscopy, modified radical mastectomy, one-stage reconstruction, prosthesis implantation

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