A Retrospective Study of the Dual-Main Surgeons’ Endoscopy-Assisted Insufflation Bilateral Nipple-Sparing Mastectomy with Immediate Implant Reconstruction

Abstract

Background: Endoscopy-assisted breast surgery (EABS) is widely accepted, especially for young breast cancer women. But single-main surgeon’s EABS (SMS-EABS) has a long operation time and lots of blood loss during the surgery. Therefore, we advocate applying dual-main surgeons’ EABS (DMS-EABS) to improve surgical technique. Materials and Methods: This retrospective cohort study analyzed 34 patients with endoscopy-assisted insufflation bilateral nipple-sparing mastectomy with immediate implant reconstruction from March 2021 to December 2023 in The Sixth Affiliated Hospital of Sun Yat-sen University medical database and compared the blood loss, operation time, post-operation hospital stay, implant volume, operation costs, operation complications and breast-Q questionnaire between SMS-EABS and DMS-EABS with statistical analysis. Results: The blood loss (29.38 ml vs 51.67 ml, p<0.05) and operation time (4.38 h vs 5.56 h, p=0.01) in the DMS-EABS group are significantly better than SMS-EABS. There is no statistical difference in post-operation hospital stay, implant volume, operation costs, operation complications, and aesthetic evaluation between the two groups. Conclusion: DMS-EABS has the advantage of reducing blood loss and operation time and it also keeps its aesthetic advantages as same as SMS-EABS. Therefore, it can be widely applied.