Pneumoendoscopic single port approach to breast cancer. How we do it?
Por:
Aulina, LB, Perez, MC, Lopez, JN, Miguel, IP, Lopez, CC, Martinez, AM, Suarez, MS, Pujol, AF, Tomas, MAL and Ibanez, JFJ
Publicada:
1 mar 2020
Ahead of Print:
4 nov 2019
Resumen:
Endoscopic procedures have not become the gold standard in breast surgery. In order to improve today's outcomes we have developed a pilot study in the Breast Pathology Unit of Hospital Germans Trias i Pujol. A surgical procedure was performed creating a pneumoendoscopic cavity by using a Single Incision Laparoscopic Surgery (Single port) approach with a follow up of four years.
Four patients underwent pneumoendoscopic single-port breast surgery receiving skin-sparing quadrantectomy and axillary surgery requiring lymphadenectomy in all of them. All patients had immediate reconstruction with a Latisimus Dorsi flap. No perioperative complications appeared. Mean operative time was 290 min (range 240-315 min) and mean hospital stay was 3,2 days. Surgical margins of all cases were pathologically negative and all patients were disease free after four years of monitoring. All patients were satisfied with the cosmetic outcome in the immediate postoperative and during the follow up.
Although all innovative techniques generate hesitation on their beginnings and are liable to improve, we believe that pneumoendoscopic single-port breast surgery can be suitable for breast cancer, offering better cosmetic outcomes with oncological safety.
Filiaciones:
Aulina, LB:
Hosp Badalona Germans Trias & Pujol, Gen & Gastrointestinal Surg, Badalona, Spain
Univ Autonoma Barcelona, Dept Pediat Obstet & Gynecol, Prevent Med & Publ Hlth, EAHE Doctoral Program Publ Hlth, Barcelona, Spain
Germans Trias Hosp, Carretera de Canyet S-N, Barcelona 08916, Spain
Perez, MC:
Hosp Badalona Germans Trias & Pujol, Gen & Gastrointestinal Surg, Badalona, Spain
Germans Trias Hosp, Carretera de Canyet S-N, Barcelona 08916, Spain
Lopez, JN:
Hosp Badalona Germans Trias & Pujol, Gen & Gastrointestinal Surg, Badalona, Spain
Germans Trias Hosp, Carretera de Canyet S-N, Barcelona 08916, Spain
Miguel, IP:
Hosp Badalona Germans Trias & Pujol, Gen & Gastrointestinal Surg, Badalona, Spain
Germans Trias Hosp, Carretera de Canyet S-N, Barcelona 08916, Spain
Lopez, CC:
Hosp Badalona Germans Trias & Pujol, Plast Surg, Badalona, Spain
Germans Trias Hosp, Carretera de Canyet S-N, Barcelona 08916, Spain
Martinez, AM:
Hosp Badalona Germans Trias & Pujol, Radiol, Barcelona, Spain
Germans Trias Hosp, Carretera de Canyet S-N, Barcelona 08916, Spain
Suarez, MS:
Hosp Badalona Germans Trias & Pujol, Nucl Med, Barcelona, Spain
Germans Trias Hosp, Carretera de Canyet S-N, Barcelona 08916, Spain
Pujol, AF:
Hosp Badalona Germans Trias & Pujol, Gen & Gastrointestinal Surg, Badalona, Spain
Germans Trias Hosp, Carretera de Canyet S-N, Barcelona 08916, Spain
Tomas, MAL:
Hosp Badalona Germans Trias & Pujol, Gynecol & Obstet, Barcelona, Spain
Germans Trias Hosp, Carretera de Canyet S-N, Barcelona 08916, Spain
:
Hosp Badalona Germans Trias & Pujol, Gen & Gastrointestinal Surg, Badalona, Spain
Germans Trias Hosp, Carretera de Canyet S-N, Barcelona 08916, Spain
|