Use of Advanced Energy Devices and Fiberoptic Retractors in Single-Incision Breast-Conserving Surgery for Breast...

Area of Science:

• Surgical Oncology
• Breast Surgery
• Minimally Invasive Techniques

Background:

• Advanced energy devices and fiberoptic retractors can enhance surgical visualization and precision.
• Conventional breast-conserving surgery (CBCS) relies on standard electrocautery and may involve larger incisions.
• Single-incision breast-conserving surgery (SIBCS) aims to minimize surgical trauma and improve cosmetic results.

Purpose of the Study:

• To compare postoperative outcomes between SIBCS and CBCS with axillary staging.
• To evaluate the efficacy of advanced energy devices and fiberoptic retractors in SIBCS.
• To assess the impact of surgical technique on incision size, operative time, blood loss, drainage, and complications.

Main Methods:

• Retrospective review of 244 patients undergoing breast-conserving surgery (BCS) with axillary surgery.
• Grouped patients into CBCS (n=117) using conventional electrocautery and SIBCS (n=127) using advanced energy devices and fiberoptic retractors.
• Compared postoperative outcomes including incision size, operative time, blood loss, drainage duration, and complication rates.

Main Results:

• SIBCS group had significantly smaller incision sizes (6.3±2.1 cm) compared to the CBCS group (7.5±2.5 cm).
• No significant differences were observed in operating time, operative blood loss, drainage duration, or complication rates between the groups.
• Mean patient age was similar between the CBCS (55.9 years) and SIBCS (53.1 years) groups.

Conclusions:

• SIBCS utilizing advanced energy devices and fiberoptic retractors leads to smaller incisions and potentially better cosmetic outcomes than conventional methods.
• Advanced energy devices show promise for improving surgical outcomes in BCS with axillary staging.
• The study suggests SIBCS is a viable alternative for breast cancer surgery with comparable safety and efficacy.