Nipple‐sparing mastectomy combined with endoscopic immediate reconstruction via axillary incision for breast cancer: A preliminary experience of an innovative technique.
Introduction: Nipple‐sparing mastectomy (NSM) has known an exponential diffusion worldwide for prophilaxis and therapeutic mastectomies in selected candidates, being oncologically safe and improving reconstructive outcomes and patients' satisfaction. The two most common used skin incisions are the r...
| Publicado en: | Breast Journal Vol. 26; no. 2; pp. 206 - 211 |
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| Autores principales: | , , , , , , , , |
| Formato: | pictorial research Journal Article |
| Publicado: |
Wiley-Blackwell
Feb2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141781397&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141781397 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1075122X ET6 jtl: Breast Journal issn: 1075122X maglogo: Y pubinfo: dt: Feb2020 vid: 26 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 141781397 141781397 145862750 141781397 10.1111/tbj.13529 141781397 ppf: 206 ppct: 5 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Nipple‐sparing mastectomy combined with endoscopic immediate reconstruction via axillary incision for breast cancer: A preliminary experience of an innovative technique. aug: au: Franceschini, Gianluca Visconti, Giuseppe Garganese, Giorgia Barone - Adesi, Liliana Di Leone, Alba Sanchez, Alejandro Martin Terribile, Daniela Salgarello, Marzia Masetti, Riccardo affil: Division of Breast Surgery, Department of Women's and Children's Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy sug: subj: Nipples Surgery Mastectomy Methods Endoscopy Methods Breast Reconstruction Methods Axilla Surgery Breast Neoplasms Surgery Surgery, Plastic Methods Human Female Lymph Nodes Surgery Adult Middle Age Patient Satisfaction After Care Aesthetics Cancer Patients Questionnaires Adult: 19-44 years Middle Aged: 45-64 years Female ab: Introduction: Nipple‐sparing mastectomy (NSM) has known an exponential diffusion worldwide for prophilaxis and therapeutic mastectomies in selected candidates, being oncologically safe and improving reconstructive outcomes and patients' satisfaction. The two most common used skin incisions are the radial and inframammary fold ones, which represent an imperfect aesthetic solution. The aim of this work was to give insights on our surgical technique, which allows to perform the NSM, node surgery, and endoscopic direct‐to‐implant reconstruction using a cosmetic axillary incision. Materials and methods: Between June 2016 and January 2019, 7 consecutive patients underwent NSM, lymph node surgery and endoscopic direct‐to‐implant reconstruction using a small cosmetic axillary incision for breast cancer treatment in a single Institution. An operative rigid endoscope with working channel (Richard Wolf) was used to dissect the entire submuscular‐subfascial pocket. The mean age of the patients was 42.8 years old (range: 36‐49 years). The evaluation methods were clinical and photography‐based assessments, as well as the BREAST‐Q which was used to quantify patient satisfaction. Results: The average follow‐up time was 9 months (range 3‐22 months). Tumor‐free margins were obtained in all cases. No tumor recurrence or metastasis occurred during follow‐up. No major complications were experienced. There were no cases of malposition, wrinkling, or rippling. All patients were satisfied with their esthetic results, especially the absence of visible scars. Conclusions: From our preliminary experience, NSM combined with endoscopic immediate reconstruction via axillary incision for breast cancer treatment seems to be a promising new procedure in cup A and B breasts alternative to the conventional techniques, as it allowed to have safe and pleasant aesthetic and oncologic outcomes. pubtype: Academic Journal doctype: pictorial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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