Endoscopic axillo-breast approach for benign neck mass excision

Area of Science:

• Surgical Oncology
• Minimally Invasive Surgery
• Cosmetic Surgery

Background:

• Benign neck masses commonly affect younger patients concerned about visible scarring.
• Conventional transcervical incision for neck mass excision results in noticeable scars.
• The endoscopic gasless axillo-breast (A-B) approach is explored as a less invasive alternative.

Purpose of the Study:

• To evaluate the safety and feasibility of the gasless A-B endoscopic approach for benign neck mass excision.
• To compare the outcomes of the endoscopic A-B approach with the conventional open transcervical approach.

Main Methods:

• A prospective case series comparing endoscopic gasless A-B excision with conventional open surgery.
• Outcomes assessed included operative time, drainage, hospitalization, complications, pain, and cosmetic satisfaction.

Main Results:

• The endoscopic group had younger patients and a higher proportion of women.
• Operative time and drainage were greater in the endoscopic group, but without significant differences in complications or pain.
• Patients undergoing endoscopic excision reported higher satisfaction with cosmetic outcomes.

Conclusions:

• The gasless axillo-breast endoscopic approach is a viable substitute for conventional transcervical excision in select benign neck lesions.
• This technique offers improved cosmetic results, enhancing patient satisfaction.