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World Journal of Surgery

, Volume 33, Issue 12, pp 2572–2578 | Cite as

Retromammary Approach for Endoscopic Resection of Benign Breast Lesions

  • Hsien LiuEmail author
  • Chih-Kun Huang
  • Po-Chin Yu
  • Hsin-Pao Chen
  • Pei-Min Hsieh
  • Kao-Chen Hung
  • Chao-Ming Hung
  • Yaw-Sen Chen
Article

Abstract

Background

One of the merits of endoscopic surgery is that it can be performed through small remote incisions made in inconspicuous areas. To improve cosmetic outcomes of surgical treatment of benign breast lesions, we performed endoscopic surgery through minimally sized axillary incisions with the goal of achieving scar-free breasts.

Methods

From August 2007 to August 2008, 18 patients with 20 benign breast lesions underwent endoscopic breast excision in our institution. Endoscopic resection of benign breast lesions was performed via the retromammary route with video assistance. Cosmetic results were evaluated using the five-item, four-step ABNSW scoring system, assessing breast asymmetry, breast shape, nipple shape, skin condition, and wound scars.

Results

The median age of the patients was 27 years (IQR 23.0, 29.0). Median resected lesion size was 3.3 cm (IQR 2.9, 3.9). Median operative time was 85.0 min (IQR 70.0, 100.0). A marginally significant difference in operative times was noted between fibroadenoma and/or juvenile fibroadenoma cases and mastopathy or benign phyllodes cases (80.0 vs. 100.0; p < 0.06). Median total ABNSW score was 14 points. Postoperatively, 5 patients had mild local subcutaneous emphysema, and one had transient brachial palsy. No breast ecchymosis or deformity was noted. No major complications developed in any patient, and 89% of patients had good or excellent results.

Conclusions

Video-assisted endoscopic breast surgery has changed routine breast surgery, manifesting cosmetic effects that cannot be achieved by previous routine surgical techniques. Patients with multiple or large benign tumors who desire excellent cosmetic results are good candidates for this approach.

Keywords

Endoscopic Resection Benign Breast Lesion Benign Breast Tumor Axillary Incision Benign Phyllode 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Supplementary material 1 (MPG 31106 kb)

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Copyright information

© Société Internationale de Chirurgie 2009

Authors and Affiliations

  • Hsien Liu
    • 1
    • 2
    Email author
  • Chih-Kun Huang
    • 1
    • 2
  • Po-Chin Yu
    • 1
    • 2
  • Hsin-Pao Chen
    • 2
  • Pei-Min Hsieh
    • 1
    • 2
  • Kao-Chen Hung
    • 1
    • 2
  • Chao-Ming Hung
    • 1
    • 2
  • Yaw-Sen Chen
    • 1
    • 2
  1. 1.Division of General SurgeryE-Da Hospital/I-Shou UniversityJaiu-Shu Tsuen, Yan-Chau ShiangTaiwan, Republic of China
  2. 2.Department of SurgeryE-Da Hospital/I-Shou UniversityJaiu-Shu Tsuen, Yan-Chau ShiangTaiwan, Republic of China

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