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Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
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Oncoplastic breast conserving surgery: Volume replacement vs. volume displacement.

M Noguchi1, M Yokoi-Noguchi1, Y Ohno1

  • 1Department of Breast and Endocrine Surgery, Kanazawa Medical University Hospital, Uchinada-daigaku, Ishikawa, Japan.

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
|March 19, 2016
PubMed
Summary

Oncoplastic breast conserving surgery (BCS) offers a cosmetic alternative to mastectomy. This approach combines cancer removal with breast reconstruction, improving outcomes and avoiding extensive surgery.

Keywords:
Breast reconstructionBreast surgeryMammoplastySegmental mastectomy

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Area of Science:

  • Oncology
  • Plastic Surgery
  • Breast Surgery

Background:

  • Oncoplastic breast conserving surgery (BCS) is a novel surgical option.
  • It offers an alternative between conventional BCS and mastectomy.
  • It encompasses two main techniques: volume replacement and volume displacement.

Purpose of the Study:

  • To describe the principles and benefits of oncoplastic BCS.
  • To highlight its advantages over traditional methods.
  • To discuss the surgical approaches and requirements.

Main Methods:

  • Partial mastectomy combined with immediate breast reconstruction.
  • Volume replacement: using autologous tissue for reconstruction.
  • Volume displacement: utilizing remaining breast tissue to fill defects.

Main Results:

  • Achieves superior cosmetic outcomes compared to mastectomy with reconstruction.
  • Avoids mastectomy in more patients while maintaining oncological safety.
  • Results in less extensive procedures with fewer complications.

Conclusions:

  • Oncoplastic BCS provides excellent cosmetic results and oncological control.
  • It offers a less invasive option than conventional treatments.
  • Requires specialized surgical expertise and may involve one- or two-stage procedures.