Video-Assisted Skin-Sparing Breast-Conserving Surgery for Breast Cancer and Immediate Reconstruction with Autologous Tissue: Clinical Outcomes

e11580 Background: This study analyzed clinical results of video-assisted breast-conserving surgery for breast cancer. Methods: Video-assisted breast-conserving surgery is indicated for breast cancer that has not invaded the skin. A skin incision is made at an inconspicuous site. Skin-sparing partial mastectomy was performed endoscopically on 244 patients (stage I, n=94; stage II, n=150). Morbidity, curability and patient satisfaction were analyzed. Results: Skin necrosis was seen in 9 patients. Local recurrence was seen in 13 patients (mean postoperative interval, 65.3 months). Distant metastasis-free survival at 60 months was 93.6% for stage I and 90.5% for stage II. Overall survival was 95.7% for stage I and 96.9% for stage II. Satisfaction with surgery as investigated by questionnaire was “good” for 72.3% of patients. Conclusions: Video-assisted breast-conserving surgery showed no increases in local or distant recurrence and patient satisfaction was high. Video-assisted breast-conserving surgery appears useful for local treatment of breast cancer. No significant financial relationships to disclose.

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Transaxillary retromammary route approach of video-assisted breast surgery enables the inner-side breast cancer to be resected for breast conserving surgery

Breast Diseases A Year Book Quarterly ◽

10.1016/s1043-321x(09)79274-4 ◽

2009 ◽

Vol 20 (2) ◽

pp. 175

Author(s):

B.O. Anderson

Keyword(s):

Breast Cancer ◽

Breast Surgery ◽

Breast Conserving Surgery ◽

Video Assisted

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Analyses of the Clinical Outcomes and Cardiovascular Events in Elderly Early Breast Cancer Patients After Breast-Conserving Surgery: A Nationwide Population-Based Study

International Journal of Radiation Oncology*Biology*Physics ◽

10.1016/j.ijrobp.2016.06.681 ◽

2016 ◽

Vol 96 (2) ◽

pp. E35-E36

Author(s):

S.F. Lai ◽

L.Y. Huang ◽

H.K. Liang ◽

C.Y.J. Hsu ◽

Y.H. Chen ◽

...

Keyword(s):

Breast Cancer ◽

Cancer Patients ◽

Clinical Outcomes ◽

Early Breast Cancer ◽

Cardiovascular Events ◽

Breast Conserving Surgery ◽

Population Based ◽

Breast Cancer Patients ◽

Population Based Study

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Single Institution Clinical Outcomes for Locally Recurrent Breast Cancer Patients Treated with a Second Breast Conserving Surgery and Intraoperative Radiotherapy

International Journal of Radiation Oncology*Biology*Physics ◽

10.1016/j.ijrobp.2017.06.530 ◽

2017 ◽

Vol 99 (2) ◽

pp. S215 ◽

Cited By ~ 1

Author(s):

J. Chen ◽

K. Turkmany ◽

J. Khani ◽

R. Zhuo ◽

S. Trichter ◽

...

Keyword(s):

Breast Cancer ◽

Cancer Patients ◽

Clinical Outcomes ◽

Intraoperative Radiotherapy ◽

Recurrent Breast Cancer ◽

Breast Conserving Surgery ◽

Breast Cancer Patients ◽

Single Institution ◽

Locally Recurrent ◽

Recurrent Breast

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Doing More: Trends in Breast Cancer Surgery, 2005 to 2011

The American Surgeon ◽

10.1177/000313481508100133 ◽

2015 ◽

Vol 81 (1) ◽

pp. 74-80 ◽

Cited By ~ 18

Author(s):

Donald J. Lucas ◽

Jennifer Sabino ◽

Craig D. Shriver ◽

Timothy M. Pawlik ◽

Devinder P. Singh ◽

...

Keyword(s):

Breast Cancer ◽

Prophylactic Mastectomy ◽

Breast Conserving Surgery ◽

Breast Cancer Surgery ◽

Improvement Program ◽

Immediate Reconstruction ◽

Multivariable Regression ◽

American Society ◽

American Society Of Anesthesiologists

An increasing number of women may be choosing mastectomy over breast-conserving surgery for breast cancer as well as undergoing more bilateral resection, immediate reconstruction, and prophylactic operations. Women who had breast cancer operations between 2005 and 2011 were selected from the National Surgical Quality Improvement Program database. Annual trends were explored using robust Poisson multivariable regression as were predictors for mastectomy versus breast-conserving surgery. A total of 85,401 women were identified. Mastectomy increased from 2005 to 2011, starting at 40 per cent in 2005 and peaking at 51 per cent in 2008 ( P < 0.001). Bilateral resection, immediate reconstruction, and prophylactic mastectomy also increased (all P < 0.001). Independent predictors of mastectomy included young age, Asian race, invasive cancer (vs carcinoma in situ), bilateral resection, axillary dissection, higher American Society of Anesthesiologists class, and lower body mass index (all P < 0.001). There was an increase in mastectomy, bilateral resection, immediate reconstruction, and prophylactic mastectomy from 2005 to 2011.

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