Endoscopy-assisted breast-conserving surgery for early XXXX .

@entity1 @entity5 @entity0 @entity548
PURPOSE: Breast-conserving surgery is now accepted as one of the standard therapeutic options for stages I and II @entity0 . Although breast-conserving surgery can help retain a good breast shape, a long marked scar would be a disadvantage. Endoscopic surgery can be performed via a small and remote incision that becomes inconspicuous after surgery. To improve the cosmetic outcome, endoscopic breast-conserving surgery, which can be performed through minimal axillary and periareolar semicircular incisions, was undertaken. METHODS AND MATERIALS: From October 2002 to October 2004, 20 @entity0 @entity1 whose @entity5 sizes were less than 3 cm and who were clinically node negative without invasion to the skin and pectoralis major muscle underwent endoscopic breast-conserving surgery. First, endoscopic dye-guided sentinel node biopsy was done through a low transverse axillary incision lateral to the pectoralis major muscle. The subpectoral pocket was gently created by Vein Harvest under the view of endoscopic monitor. We made the periareolar semicircular incision to create the skin flap and to resect the @entity5 -containing quadrant by using Visiport and PowerStar scissors. Frozen-section biopsies were done to rule out @entity5 invasion to the resection margin. @entity1 characteristics, @entity5 characteristics, operation time, and amount of bleedings were all evaluated. RESULTS: The mean age of @entity1 was 45 (range: 25-64). The mean @entity5 size was 2.2 cm (range: 0.2-4.0 cm). The average operation time of the early 9 cases, except the 3 cases that underwent axillary-node dissection, was 178 minutes, and that of the later 8 cases was 130 minutes (P<0.001). The mean amount of @entity548 was 184+/-130 ml. There were no major complications. CONCLUSION: Endoscopic breast-conserving surgery is a new technique that can minimize the long operation scar of classic breast-conserving surgery. In properly selected cases, our results showed the maximized cosmetic satisfaction of the @entity0 @entity1 and a shortened operation time after the learning period, promising it could be an alternative to the classic breast-conserving surgery.
