Single-port non-lipolytic endoscopic surgery via the axillary approach for the treatment of benign breast tumors has better clinical outcomes: a case control study.

IF 2.4 3区 医学 Q2 OBSTETRICS & GYNECOLOGY BMC Women's Health Pub Date : 2025-01-16 DOI:10.1186/s12905-025-03563-z
Tianyi Ma, Jian Cui, Qian Wang, Changgen Liu, Bin Wang, Haibo Wang
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Abstract

Background: Endoscopic surgery provides good cosmetic results while ensuring therapeutic outcomes. This study aimed to evaluate the efficacy, safety, and cosmetic outcome of endoscopic surgery for benign breast tumors.

Methods: In total, 108 patients were enrolled and divided into endoscopic or open surgery groups based on the patients' voluntary decisions. Surgical information, complications, postoperative pain, and postoperative cosmetic scores were compared.

Results: The endoscopic surgery group and open surgery group included 46 and 62 patients, respectively. Patients who underwent endoscopic surgery had longer operative times (p < 0.001) and postoperative hospital stays (p = 0.045), and there was no significant difference in intraoperative blood loss between the two groups (p = 0.501). The overall postoperative complication rate was 13% in the endoscopic group and 25.8% in the open group (p = 0.103). Postoperative pain scores were similar in both groups. Cosmetic scores were better in the endoscopic group (p = 0.002), especially regarding nipple shape and wound scarring.

Conclusions: Endoscopic surgery is safe and effective for treating benign breast tumors and offers improved cosmetic results compared to open surgery.

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经腋窝入路的单孔非溶脂内镜手术治疗乳腺良性肿瘤具有较好的临床效果:一项病例对照研究。
背景:内窥镜手术在保证治疗效果的同时提供了良好的美容效果。本研究旨在评估内镜手术治疗乳腺良性肿瘤的疗效、安全性和美容效果。方法:共纳入108例患者,根据患者自愿选择分为内镜组和开放手术组。比较手术信息、并发症、术后疼痛和术后美容评分。结果:内镜手术组46例,开放手术组62例。结论:内窥镜手术治疗乳腺良性肿瘤安全有效,美容效果优于开放手术。
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来源期刊
BMC Women's Health
BMC Women's Health OBSTETRICS & GYNECOLOGY-
CiteScore
3.40
自引率
4.00%
发文量
444
审稿时长
>12 weeks
期刊介绍: BMC Women''s Health is an open access, peer-reviewed journal that considers articles on all aspects of the health and wellbeing of adolescent girls and women, with a particular focus on the physical, mental, and emotional health of women in developed and developing nations. The journal welcomes submissions on women''s public health issues, health behaviours, breast cancer, gynecological diseases, mental health and health promotion.
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