单孔充气法腔镜乳腺癌保乳手术66例疗效分析

Clinical analysis of 66 breast cancer patients receiving single-port inflatable endoscopic breast-conserving surgery

目的探讨单孔充气法腔镜保乳手术在早期乳腺癌治疗中的临床应用价值。方法回顾性分析2018年1月至2019年1月首都医科大学附属北京友谊医院普外科收治的行单孔充气法腔镜保乳手术的66例早期乳腺癌病人的临床资料,并进行随访,对手术根治性、术后美容效果,以及病人的生活质量和满意度进行评估。结果66例病人均顺利完成手术,无中转开放病例,19例病人行腋窝淋巴结清扫。手术时间为(194.9±70.6)min,术中出血(24.3±19.1)mL。手术切口长度为(3.3±1.2)cm,术后均未出现切口感染。术后中位随访时间为21(18~26)个月,均无肿瘤局部复发或远处转移。通过BREAST-Q量表进行评价,术后乳房满意度、放疗副反应、社会心理状态、胸壁状态、性健康程度评分分别为:(73.8±18.4)、(61.6±17.3)、(84.9±16.4)、(80.2±16.5)、(61.7±28.1)分。结论单孔充气法腔镜保乳手术治疗早期乳腺癌病人,可获得较好的根治和美容效果,病人术后生活质量和满意度较高。

ObjectiveTo explore the clinical application value of single-port inflatable endoscopic breast-conservingsurgery in the treatment of breast cancer.MethodsThe clinical data of breast cancer patients received single-holeinflatable endoscopic breast-conserving surgery from January 2018 to January 2019 in Department of General Surgery,Beijing Friendship Hospital,Capital Medical University were analyzed retrospectively and followed up.The radicaloperation,cosmetic effect after operation,quality of life and satisfaction score of patients were evaluated.Results Single-hole inflatable endoscopic breast-conserving surgery was performed successfully in 66 patients.Axillary lymphnode disscetion was performed in 19 patients.The mean operation time was(194.9±70.6)min and the intraoperativeblood loss was(24.3±19.1)m L.The average incision length was(3.3±1.2)cm and no incision infection occurred after theincision.The median follow-up time was 21 months(18 months to 26 months),and there was no local recurrence ormetastasis.By BREAST-Q scale,the scores of postoperative breast satisfaction,side effects of radiotherapy,psychosocialstatus,chest wall status and sexual health were(73.8±18.4),(61.6±17.3),(84.9±16.4),(80.2±16.5)and(61.7±28.1)points respectively.ConclusionSingle-port inflatable endoscopic breast-conserving surgery may achieve providedcurative and cosmetic effect on patients with breast cancer,with good patients’postoperative quality of life andsatisfaction.