Endoscopic excision of breast fibroadenoma through inframammary fold: Feasibility, safety and medium-term outcomes

IF 0.9 Q4 ORTHOPEDICS Asian Journal of Endoscopic Surgery Pub Date : 2024-06-25 DOI:10.1111/ases.13338

Vipul Thakur, Sonakshi Jamwal, R. N. Naga Irrinki Santosh, Siddhant Khare

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Abstract

Introduction

Endoscopic-assisted surgery for breast tumors has the advantage of inconspicuous scars, less breast volume loss, and nipple areolar distortion. A novel endoscopic-assisted technique through inframammary fold for excision of fibroadenomas is presented.

Materials and Surgical Technique

Endoscopic-assisted excision of fibroadenoma(s) through inframammary fold was performed in four patients after informed written consent via three ports (12, 5, and 5 mm). Breast Cancer Treatment Outcome Score-12 (BCTOS-12) was used to evaluate patient satisfaction after surgery.

Discussion

No intraoperative and wound complication was noted. On median follow-up of 26.5 months, patients reported satisfactory responses to aesthetic and functional outcomes. No scar related complications were noted. Endoscopic-assisted excision of fibroadenoma through inframammary fold can be a safe and feasible option with good aesthetic outcomes.

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乳房纤维腺瘤经乳房下皱襞内窥镜切除术：可行性、安全性和中期疗效。

简介内窥镜辅助乳腺肿瘤手术具有疤痕不明显、乳房体积损失较少、乳头乳晕变形小等优点。本文介绍了一种通过乳房下皱襞进行纤维腺瘤切除的新型内窥镜辅助技术：材料和手术技巧：在获得知情书面同意后，四名患者在内窥镜辅助下通过乳房下褶皱切除了纤维腺瘤，手术有三个切口（12 毫米、5 毫米和 5 毫米）。乳腺癌治疗效果评分-12（BCTOS-12）用于评估患者术后的满意度：无术中和伤口并发症。中位随访26.5个月，患者对美学和功能效果均表示满意。未发现与疤痕有关的并发症。通过乳房下褶皱进行内窥镜辅助切除纤维腺瘤是一种安全可行的方法，具有良好的美容效果。

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