| 摘要: |
| ［摘要］ 目的 探讨单孔腔镜保留乳头乳晕全乳切除术在早期乳腺癌中的应用效果。方法 选取2021年7月至2022年8月于广西壮族自治区人民医院行保留乳头乳晕全乳切除术的40例患者，其中行单孔腔镜下保留乳头乳晕全乳切除术者20例(腔镜组），开放保留乳头乳晕全乳切除术者20例（开放组）。比较两组手术时间、术中出血量、切口长度、术后住院时间、术后引流量、并发症发生率，以及术后6个月的乳腺癌生存质量测评量表(FACT-B)评分和美容效果满意度评分等。结果 两组患者均顺利完成手术并康复出院。腔镜组切口长度短于开放组，但手术时间长于开放组，术后引流量多于开放组，差异有统计学意义(P<0.05)。腔镜组术后6个月FACT-B测评量表评分和美容效果满意度评分高于开放组，差异有统计学意义(P<0.05)。两组术中出血量、术后住院时间、术后并发症发生率比较差异无统计学意义（P>0.05）。结论 单孔腔镜下保留乳头乳晕全乳切除术安全有效，具有更好的美容效果和患者满意度，可提高患者的生活质量和心理健康。 |
| 关键词: 乳腺癌 单孔腔镜 保留乳头乳晕全乳切除术 乳房美容效果 生存质量 |
| DOI：10.3969/j.issn.1674-3806.2023.09.05 |
| 分类号:R 737.9 |
| 基金项目:广西科技重大专项课题（编号：桂科AA22096018） |
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| An exploration on the application effect of single-port insufflation endoscopic nipple-sparing mastectomy on early-stage breast cancer |
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XU Jin-an, ZHAO Ying-zhu, LI Li-hui, et al.
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Youjiang Medical University for Nationalities, Baise 533000, China; Department of Breast and Thyroid Surgery, the People′s Hospital of Guangxi Zhuang Autonomous Region(Guangxi Academy of Medical Sciences), Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To explore the application effect of single-port insufflation endoscopic nipple-sparing mastectomy on early-stage breast cancer. Methods A total of 40 patients who underwent nipple-sparing mastectomy at the People′s Hospital of Guangxi Zhuang Autonomous Region between July 2021 and August 2022 were selected. They were divided into two groups according to different surgical approaches: the laparoscopic group(receiving single-port insufflation endoscopic nipple-sparing mastectomy, 20 cases) and the open group(receiving open nipple-sparing mastectomy, 20 cases). The surgical time, intraoperative blood loss, incision length, postoperative hospital stay, postoperative drainage volume, complication rate, Functional Assessment of Cancer Therapy-Breast(FACT-B) scores and satisfaction ratings for cosmetic outcomes 6 months after surgery were compared between the two groups. Results The operations were successfully completed in both groups and the patients recovered and were discharged from the hospital. The incision length in the laparoscopic group was shorter than that in the open group, but the surgical time in the laparoscopic group was longer than that in the open group, and the postoperative drainage volume in the laparoscopic group was larger than that in the open group, and the differences were significant(P<0.05). The FACT-B scores and satisfaction ratings for cosmetic outcomes 6 months after surgery in the laparoscopic group were significantly higher than those in the open group(P<0.05). There were no statistically significant differences between the two groups in terms of intraoperative blood loss, postoperative hospital stay and the incidence of postoperative complications(P>0.05). Conclusion Single-port laparoscopic nipple-sparing total mastectomy is safe and effective, offering superior cosmetic results and higher patients′ satisfaction rate. Moreover, it improves the patients′ quality of life and mental health. |
| Key words: Breast cancer Single-port laparoscopy Nipple-sparing mastectomy(NSM) Breast aesthetic outcome Quality of life |
