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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2024, Vol. 18 ›› Issue (05): 494-497. doi: 10.3877/cma.j.issn.1674-3946.2024.05.007

• Original Article • Previous Articles    

Comparison of the effect, complication rate and recurrence rate of different operation methods in treating early breast cancer

Zhao Zhang1, Chengyu Luo1, Shuqi Zhang1, Ping He1, Xubin Li2,()   

  1. 1. Department of General Surgery, Beijing Anzhen Hospital,Capital Medicine University, Beijing 100020, China
    2. Department of General Surgery, Beijing Rehabilitation Hospital of Capital Medical University, Beijing 100144, China
  • Received:2024-04-01 Online:2024-10-26 Published:2024-07-22
  • Contact: Xubin Li
  • Supported by:
    National Key Project of the 14th Five-Year Plan of National Health Commission(YYWS5622)

Abstract:

Objective

To compare the effect, complication rate and recurrence rate of breast cancer treated by axillary single hole aeration endoscopic surgery and areola incision surgery.

Methods

The clinical data of 126 patients with early breast cancer from February 2021 to October 2023 were retrospectively analyzed, and they were divided into group A (transaxillary single hole aeration breast endoscopic surgery, n=65 cases) and group B (transareolar incision surgery, n=61 cases) according to different operation methods. SPSS 24.0 was used to analyze the data. Measurement data such as perioperative indicators, standardized outcome indicators of aesthetic and local effects of breast cancer treatment (SOMA-LNET), visual analogue scale (VAS) and comprehensive quality of life Assessment Questionnaire (GQOLI-74) were represented by The clinical data of 126 patients with early breast cancer from February 2021 to October 2023 were retrospectively analyzed, and they were divided into group A (transaxillary single hole aeration breast endoscopic surgery, n=65 cases) and group B (transareolar incision surgery, n=61 cases) according to different operation methods. SPSS 24.0 was used to analyze the data. Measurement data such as perioperative indicators, standardized outcome indicators of aesthetic and local effects of breast cancer treatment (SOMA-LNET), visual analogue scale (VAS) and comprehensive quality of life Assessment Questionnaire (GQOLI-74) were represented by (), and independent sample t test was performed. The statistical data of complications and recurrence rate were chi-square test. P<0.05 indicated that the difference was statistically significant.

Results

The operative time of group A was longer than that of group B (P<0.05), while the amount of blood loss, incision length and hospitalization days of group A were lower than those of group A (P<0.05). The SOMA-LNET scores in group A were higher than those in group B (P<0.05). One day and one week after surgery, VAS scores in both groups were lower than before surgery, and group A was lower than group B (P<0.05). The scores of GQOLI-74 in both groups were higher than those before surgery 1 month and 6 months after surgery, and group A was higher than group B (P<0.05). After 6 months of follow-up, the recurrence rate was 4.6% in group A and 9.8% in group B, with no statistical significance (P>0.05). The total complication rate of group A was 4.6%, which was lower than that of group B (18.0%) (P<0.05).

Conclusion

Compared with transareolar incision, transaxillary single hole aeration breast endoscopic surgery is effective in the treatment of early breast cancer, with better postoperative breast beauty and high safety.

Key words: Early Breast Cancer, Transaxillary Single-Port Inflatable Breast Endoscopic Surgery, Areola Incision Surgery, Complications, Recurrence Rate

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