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Video-assisted skin-sparing breast-conserving surgery for breast cancer and immediate reconstruction with autologous tissue
Annals of Surgical Oncology, 04/27/09

Nakajima H et al. - In a trial to analyze clinical results of video-assisted breast-conserving surgery for breast cancer, it was concluded that video-assisted breast-conserving surgery showed no increases in local or distant recurrence and pt satisfaction was high. Video-assisted breast-conserving surgery appears useful for local treatment of 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 pts (stage I, n=94; stage II, n=150).
Morbidity, curability, and pt satisfaction were analyzed.

Results

Skin necrosis was seen in 9 pts.
Local recurrence was seen in 13 pts (mean postoperative interval 65.3 mos).
Distant metastasis-free survival at 60 mos 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 pts.

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