Application of the Downward-Turned Patch-Wrapped Prosthesis Method in Transaxillary Single-Port Endoscopic Breast...

Area of Science:

• Surgical Oncology
• Plastic and Reconstructive Surgery
• Minimally Invasive Surgery

Background:

• Traditional breast cancer surgery often involves extensive incisions and can lead to significant aesthetic compromise and prolonged recovery.
• There is a need for innovative techniques that improve oncological safety while enhancing patient outcomes and cosmesis.

Purpose of the Study:

• To present and evaluate an innovative axillary single-port endoscopic approach for radical mastectomy with immediate breast reconstruction.
• To assess the safety, efficacy, and patient-reported outcomes of this novel surgical technique.

Main Methods:

• A concealed axillary incision was used for sentinel lymph node biopsy and endoscopic access.
• High-definition endoscopy facilitated dissection of the pectoralis major and retromammary spaces, preserving neurovascular structures.
• A unique subcutaneous tunneling and downward patch-wrapping technique was employed for prosthesis placement and breast reconstruction.

Main Results:

• The procedure was successfully performed in 30 patients, with an average operating time of 147.73 minutes.
• Postoperative BREAST-Q scores were significantly higher than preoperative scores, indicating improved patient satisfaction.
• The technique demonstrated favorable aesthetic outcomes and enhanced postoperative recovery compared to traditional methods.

Conclusions:

• The single-port axillary endoscopic radical mastectomy with immediate reconstruction and innovative patch-wrapping is an effective and superior approach for breast cancer treatment.
• This minimally invasive technique offers significant advantages in terms of aesthetic results and patient recovery.