Pneumoendoscopic single port approach to breast cancer. How we do it?

Autor: Blay Aulina L; General and Gastrointestinal Surgery, Hospital Germans Trias i Pujol, Badalona, Spain; EAHE Doctoral Program in Public Health, Department of Pediatrics, Obstetrics and Gynecology, Preventive Medicine and Public Health, Universitat Autònoma de Barcelona (UAB), Bellaterra, Barcelona, Spain. Electronic address: lydia.blay@gmail.com., Cremades Pérez M; General and Gastrointestinal Surgery, Hospital Germans Trias i Pujol, Badalona, Spain. Electronic address: mcremades@outlook.com., Navinés Lopez J; General and Gastrointestinal Surgery, Hospital Germans Trias i Pujol, Badalona, Spain. Electronic address: drnavines@gmail.com., Pascual Miguel I; General and Gastrointestinal Surgery, Hospital Germans Trias i Pujol, Badalona, Spain. Electronic address: irizarp@gmail.com., Carrasco López C; Plastic Surgery, Hospital Germans Trias i Pujol, Badalona, Spain. Electronic address: carralo@gmail.com., Mariscal Martínez A; Radiology, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain. Electronic address: mariscal.germanstrias@gencat.cat., Solà Suarez M; Nuclear Medicine, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain. Electronic address: msola.germanstrias@gencat.cat., Fernández Pujol A; General and Gastrointestinal Surgery, Hospital Germans Trias i Pujol, Badalona, Spain. Electronic address: andreafernandez8@gmail.com., Luna Tomás MA; Gynecology and Obstetrics, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain. Electronic address: maluna.germanstrias@gencat.cat., Julián Ibáñez JF; General and Gastrointestinal Surgery, Hospital Germans Trias i Pujol, Badalona, Spain. Electronic address: 21127jji@gmail.com.
Jazyk: angličtina
Zdroj: Surgical oncology [Surg Oncol] 2020 Mar; Vol. 32, pp. 41-45. Date of Electronic Publication: 2019 Nov 04.
DOI: 10.1016/j.suronc.2019.10.017
Abstrakt: Endoscopic procedures have not become the gold standard in breast surgery. In order to improve today's outcomes we have developed a pilot study in the Breast Pathology Unit of Hospital Germans Trias i Pujol. A surgical procedure was performed creating a pneumoendoscopic cavity by using a Single Incision Laparoscopic Surgery (Single port) approach with a follow up of four years. Four patients underwent pneumoendoscopic single-port breast surgery receiving skin-sparing quadrantectomy and axillary surgery requiring lymphadenectomy in all of them. All patients had immediate reconstruction with a Latisimus Dorsi flap. No perioperative complications appeared. Mean operative time was 290 min (range 240-315 min) and mean hospital stay was 3,2 days. Surgical margins of all cases were pathologically negative and all patients were disease free after four years of monitoring. All patients were satisfied with the cosmetic outcome in the immediate postoperative and during the follow up. Although all innovative techniques generate hesitation on their beginnings and are liable to improve, we believe that pneumoendoscopic single-port breast surgery can be suitable for breast cancer, offering better cosmetic outcomes with oncological safety.
Competing Interests: Declaration of competing interest There is no conflict of interest.
(Copyright © 2019. Published by Elsevier Ltd.)
Databáze: MEDLINE
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