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Video-Assisted Skin-Sparing Breast-Conserving Surgery for Breast Cancer and Immediate Reconstruction with Autologous Tissue: Clinical Outcomes

  • Breast Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Background

This study analyzed clinical results of video-assisted breast-conserving surgery for breast cancer.

Methods

Video-assisted breast-conserving surgery is indicated for breast cancer that has not invaded the skin. A skin incision is made at an inconspicuous site. Skin-sparing partial mastectomy was performed endoscopically on 244 patients (stage I, n = 94; stage II, n = 150). Morbidity, curability, and patient satisfaction were analyzed.

Results

Skin necrosis was seen in nine patients. Local recurrence was seen in 13 patients (mean postoperative interval 65.3 months). Distant metastasis-free survival at 60 months was 93.6% for stage I and 90.5% for stage II. Overall survival was 95.7% for stage I and 96.9% for stage II. Satisfaction with surgery as investigated by questionnaire was “good” for 72.3% of patients.

Conclusions

Video-assisted breast-conserving surgery showed no increases in local or distant recurrence and patient satisfaction was high. Video-assisted breast-conserving surgery appears useful for local treatment of breast cancer.

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Authors and Affiliations

  1. Departments of Endocrine and Breast Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan

    Hiroo Nakajima PhD, Ikuya Fujiwara PhD, Naruhiko Mizuta PhD, Koichi Sakaguchi PhD & Yasushi Hachimine MD

  2. Department of Translational Cancer Drug Development, Kyoto Prefectural University of Medicine, Kyoto, Japan

    Ikuya Fujiwara PhD

  3. Radiation Safety Research Center, Nuclear Technology Research Laboratory, Central Research Institute of Electric Power Industry, Tokyo, Japan

    Junji Magae PhD

Authors
  1. Hiroo Nakajima PhD
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  2. Ikuya Fujiwara PhD
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  3. Naruhiko Mizuta PhD
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  4. Koichi Sakaguchi PhD
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  5. Yasushi Hachimine MD
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  6. Junji Magae PhD
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Corresponding author

Correspondence to Hiroo Nakajima PhD.

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Nakajima, H., Fujiwara, I., Mizuta, N. et al. Video-Assisted Skin-Sparing Breast-Conserving Surgery for Breast Cancer and Immediate Reconstruction with Autologous Tissue: Clinical Outcomes. Ann Surg Oncol 16, 1982–1989 (2009). https://doi.org/10.1245/s10434-009-0429-1

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  • DOI: https://doi.org/10.1245/s10434-009-0429-1

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