Oncoplastic round block technique has comparable operative parameters as standard wide local excision: a matched...

Area of Science:

• Oncoplastic breast surgery
• Surgical oncology
• Breast cancer treatment

Background:

• Oncoplastic surgery aims for better tumor resection and lower re-excision rates than standard wide local excision (sWLE).
• Criticisms of oncoplastic surgery include longer scars, increased operating time, and higher complication risks.
• The round block technique is suitable for smaller breasts with minimal ptosis.

Purpose of the Study:

• To compare the operative parameters of the round block technique with sWLE.
• To evaluate cosmesis and re-excision rates between the two surgical methods.

Main Methods:

• A retrospective matched-cohort study comparing breast cancer patients who underwent round block procedures versus sWLE.
• Patients were matched one-to-one based on axillary procedure type.
• Operative parameters, complications, cosmesis, and recurrence rates were compared.

Main Results:

• No significant differences in operating time or length of stay were found between the round block and sWLE groups.
• The round block technique demonstrated superior cosmetic outcomes and lower re-excision rates.
• A higher recurrence rate was observed in the sWLE group, with no complications reported in either group.

Conclusions:

• The round block technique is comparable to sWLE in terms of operative parameters and complication rates.
• Round block technique offers advantages in cosmesis and re-excision rates.
• Round block technique may be a preferred option for selected breast cancer patients.