Prospective comparative study of breast reconstruction with dual plane prosthesis implantation and anterior pectoralis prosthesis implantation under endoscopy_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

SHEN Peng ¹ , DU Zhenggui ^2,3 , YOU Wei ¹ , YU Bofan ¹ , YAN Yuan ¹ , LIU Zhengyi ¹ ,  YU Yang ¹

1. Department of Breast Surgery, Henan Provincial People’s Hospital, Zhengzhou Henan, 450003, P. R. China;
2. Department of General Surgery, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P. R. China;
3. Breast Center, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P. R. China;

Corresponding?author：

YU Yang, Email: yuyang6081@163.com

Keywords：

Breast cancer; endoscopic surgery; breast reconstruction; dual plane prosthesis implantation; prospective comparative study

DOI：

10.7507/1002-1892.202404021

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To discuss the effectiveness of breast reconstruction with dual plane prosthesis implantation or anterior pectoralis prosthesis implantation under endoscopy by using prospective comparative study, in order to provide a reference for clinical surgical selection. Methods A total of 54 female patients with breast cancer admitted between January 2023 and December 2023 and met the selection criteria were selected as research subjects. According to the random number table, 54 patients were divided into trial group and control group with 27 cases in each. The patients in the trial group and control group were treated with dual plane prosthesis implantation and anterior pectoralis prosthesis implantation for breast reconstruction after glandular resection under endoscopy, respectively. There was no significant difference between the two groups (P>0.05) in the terms of age, body mass index, affected side, breast clinical stages, molecular typing, disease duration, breast volume of healthy side, breast ptosis of affected side, and preoperative Breast-Q score (social mental health, sexual health, breast satisfaction, chest somatic health). The operation-related indicators (operation time, total volume of drainage within 7 days after operation, extubation time, and hospital stay), occurrence of complications, breast reconstruction efficacy related indicators (transverse and longitudinal distance difference), and the pre- and post-operative differences (change values) of Breast-Q scores for each item were compared between the two groups. Results There was no significant difference in operation time, total volume of drainage within 7 days after operation, extubation time, and hospital stay between the two groups (P>0.05). All patients of the two groups were followed up 3-12 months (mean, 6.3 months). Three patients (11.11%) in trial group and 5 patients (18.52%) in control group experienced complications, and there was no significant difference in the occurrence of complications (P>0.05). At 7 days after operation, the transverse and longitudinal distance differences were significantly less in trial group than in control group (P<0.05). The Breast-Q scores of the two groups at 7 days after operation were significantly higher in all items than those before operation (P<0.05), but there was no significant difference in all change values between the two groups (P>0.05). Conclusion For patients with breast cancer, comparison of breast reconstruction with anterior pectoralis prosthesis implantation, breast reconstruction with dual plane prosthesis implantation has better breast reconstruction effectiveness and higher safety.

Citation： SHEN Peng, DU Zhenggui, YOU Wei, YU Bofan, YAN Yuan, LIU Zhengyi, YU Yang. Prospective comparative study of breast reconstruction with dual plane prosthesis implantation and anterior pectoralis prosthesis implantation under endoscopy. Chinese Journal of Reparative and Reconstructive Surgery, 2024, 38(7): 781-785. doi: 10.7507/1002-1892.202404021 Copy

1.	王如華, 張焱, 程敬亮, 等. 乳腺鉬靶、超聲、磁共振成像對硅膠假體植入后發生乳腺癌的影像學觀察. 中華醫學美學美容雜志, 2023, 29(1): 11-14.
2.	丁泊文, 王慧清, 何珊珊, 等. 牛心包補片聯合假體植入一期乳房再造術141例臨床分析. 中華外科雜志, 2022, 60(3): 237-243.
3.	雷雯, 林慶中, 黃秋艷, 等. 乳腺癌術后即刻假體植入乳房重建之胸大肌前、后平面選擇對患者術后滿意度的影響. 微創醫學, 2023, 18(2): 184-187.
4.	蘇鳳連, 趙長嘯, 鐘青, 等. 胸肌前與胸肌后假體植入術后并發癥比較的meta分析. 中國醫藥科學, 2022, 12(22): 29-33.
5.	王德菊, 周勇. 自體脂肪移植聯合假體植入在乳腺癌根治術后Ⅰ期乳房再造中的應用效果. 廣西醫學, 2023, 45(17): 2149-2152.
6.	周水勇, 陶冶, 張羽森, 等. 內窺鏡下雙平面假體隆乳術與常規假體隆乳術的效果及安全性比較. 中國醫療美容, 2020, 10(4): 1-4.
7.	王靜坤, 計美妮, 馬斌林, 等. 腔鏡下乳腺癌根治假體植入乳房再造手術與傳統乳腺癌根治性手術的對比研究. 新疆醫學, 2023, 53(1): 5-9.
8.	占冬仔, 方向陽, 徐良土, 等. 乳腺癌術后乳房一期重建的臨床效果分析. 江西醫藥, 2022, 57(2): 196-198.
9.	郝方方. 假體植入Ⅰ期成形術在早期乳腺癌患者中的應用觀察. 實用中西醫結合臨床, 2023, 23(6): 21-23.
10.	Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2021, 71(3): 209-249.
11.	曹長青, 張偉, 何顯力, 等. 胸肌前假體植入乳房重建: 更優的乳腺切除一期重建方案. 空軍軍醫大學學報, 2023, 44(4): 363-368.
12.	張一帆, 王蓉蓉, 胡宏葉. 乳房假體植入對二重應激下乳腺癌患者心理應激、生存質量的影響. 中國基層醫藥, 2023, 30(10): 1489-1494.
13.	Lei S, Zheng R, Zhang S, et al. Global patterns of breast cancer incidence and mortality: A population-based cancer registry data analysis from 2000 to 2020. Cancer Commun (Lond), 2021, 41(11): 1183-1194.
14.	海琳悅, 王雪菲, 劉博文, 等. 經腋窩單孔充氣法乳腺腔鏡手術治療乳腺疾病的臨床應用分析. 中國腫瘤臨床, 2023, 50(5): 255-259.
15.	朱丹麗, 鮑婉婷, 魏昊, 等. 乳腺癌術后乳房缺損修復的研究進展. 組織工程與重建外科雜志, 2023, 19(2): 201-205.
16.	李江濤, 劉志瀚, 劉晨璐, 等. 乳腺癌腔鏡輔助對比開放下保留乳頭乳暈乳房皮下全切加一期假體植入重建術后假體相關并發癥的回顧性隊列研究. 中華外科雜志, 2024, 62(2): 141-146.
17.	高強. 假體植入乳房再造手術后各種并發癥的發病時間窗及影響因素分析. 組織工程與重建外科雜志, 2023, 19(5): 464-470.
18.	徐飚, 王蕾, 羅偉, 等. 分層充氣法腔鏡下胸肌筋膜聯合假體一期乳房重建術的技術創新(附2例病例報告). 中國臨床新醫學, 2023, 16(9): 890-895.
19.	Stumpf CC, Zucatto ?E, Cavalheiro JAC, et al. Oncologic safety of immediate autologous fat grafting for reconstruction in breast-conserving surgery. Breast Cancer Res Treat, 2020, 180(2): 301-309.
20.	Britt KL, Cuzick J, Phillips KA. Key steps for effective breast cancer prevention. Nat Rev Cancer, 2020, 20(8): 417-436.
21.	鐘玲, 范林軍, 杜俊澤, 等. 新輔助化療對乳腺癌切除假體植入Ⅰ期乳房重建療效及術后并發癥的影響. 中華實用診斷與治療雜志, 2020, 34(8): 782-785.
22.	歐陽馳斌, 杜正貴. 保乳治療和乳房全切除對不同管腔亞型早期乳腺癌患者預后影響的meta分析. 中國普外基礎與臨床雜志, 2020, 27(3): 326-336.
23.	楊曉娟, 王文歡, 鄒潔雅, 等. 乳腺癌術后三平面技術乳房假體重建的臨床效果分析. 腫瘤學雜志, 2024, 30(3): 231-235.
24.	李瑞青, 杜稼苓, 路選. 術后即刻雙平面乳房重建在早期乳腺癌患者中的應用效果. 中國醫刊, 2023, 58(10): 1111-1114.

1. 王如華, 張焱, 程敬亮, 等. 乳腺鉬靶、超聲、磁共振成像對硅膠假體植入后發生乳腺癌的影像學觀察. 中華醫學美學美容雜志, 2023, 29(1): 11-14.
2. 丁泊文, 王慧清, 何珊珊, 等. 牛心包補片聯合假體植入一期乳房再造術141例臨床分析. 中華外科雜志, 2022, 60(3): 237-243.
3. 雷雯, 林慶中, 黃秋艷, 等. 乳腺癌術后即刻假體植入乳房重建之胸大肌前、后平面選擇對患者術后滿意度的影響. 微創醫學, 2023, 18(2): 184-187.
4. 蘇鳳連, 趙長嘯, 鐘青, 等. 胸肌前與胸肌后假體植入術后并發癥比較的meta分析. 中國醫藥科學, 2022, 12(22): 29-33.
5. 王德菊, 周勇. 自體脂肪移植聯合假體植入在乳腺癌根治術后Ⅰ期乳房再造中的應用效果. 廣西醫學, 2023, 45(17): 2149-2152.
6. 周水勇, 陶冶, 張羽森, 等. 內窺鏡下雙平面假體隆乳術與常規假體隆乳術的效果及安全性比較. 中國醫療美容, 2020, 10(4): 1-4.
7. 王靜坤, 計美妮, 馬斌林, 等. 腔鏡下乳腺癌根治假體植入乳房再造手術與傳統乳腺癌根治性手術的對比研究. 新疆醫學, 2023, 53(1): 5-9.
8. 占冬仔, 方向陽, 徐良土, 等. 乳腺癌術后乳房一期重建的臨床效果分析. 江西醫藥, 2022, 57(2): 196-198.
9. 郝方方. 假體植入Ⅰ期成形術在早期乳腺癌患者中的應用觀察. 實用中西醫結合臨床, 2023, 23(6): 21-23.
10. Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2021, 71(3): 209-249.
11. 曹長青, 張偉, 何顯力, 等. 胸肌前假體植入乳房重建: 更優的乳腺切除一期重建方案. 空軍軍醫大學學報, 2023, 44(4): 363-368.
12. 張一帆, 王蓉蓉, 胡宏葉. 乳房假體植入對二重應激下乳腺癌患者心理應激、生存質量的影響. 中國基層醫藥, 2023, 30(10): 1489-1494.
13. Lei S, Zheng R, Zhang S, et al. Global patterns of breast cancer incidence and mortality: A population-based cancer registry data analysis from 2000 to 2020. Cancer Commun (Lond), 2021, 41(11): 1183-1194.
14. 海琳悅, 王雪菲, 劉博文, 等. 經腋窩單孔充氣法乳腺腔鏡手術治療乳腺疾病的臨床應用分析. 中國腫瘤臨床, 2023, 50(5): 255-259.
15. 朱丹麗, 鮑婉婷, 魏昊, 等. 乳腺癌術后乳房缺損修復的研究進展. 組織工程與重建外科雜志, 2023, 19(2): 201-205.
16. 李江濤, 劉志瀚, 劉晨璐, 等. 乳腺癌腔鏡輔助對比開放下保留乳頭乳暈乳房皮下全切加一期假體植入重建術后假體相關并發癥的回顧性隊列研究. 中華外科雜志, 2024, 62(2): 141-146.
17. 高強. 假體植入乳房再造手術后各種并發癥的發病時間窗及影響因素分析. 組織工程與重建外科雜志, 2023, 19(5): 464-470.
18. 徐飚, 王蕾, 羅偉, 等. 分層充氣法腔鏡下胸肌筋膜聯合假體一期乳房重建術的技術創新(附2例病例報告). 中國臨床新醫學, 2023, 16(9): 890-895.
19. Stumpf CC, Zucatto ?E, Cavalheiro JAC, et al. Oncologic safety of immediate autologous fat grafting for reconstruction in breast-conserving surgery. Breast Cancer Res Treat, 2020, 180(2): 301-309.
20. Britt KL, Cuzick J, Phillips KA. Key steps for effective breast cancer prevention. Nat Rev Cancer, 2020, 20(8): 417-436.
21. 鐘玲, 范林軍, 杜俊澤, 等. 新輔助化療對乳腺癌切除假體植入Ⅰ期乳房重建療效及術后并發癥的影響. 中華實用診斷與治療雜志, 2020, 34(8): 782-785.
22. 歐陽馳斌, 杜正貴. 保乳治療和乳房全切除對不同管腔亞型早期乳腺癌患者預后影響的meta分析. 中國普外基礎與臨床雜志, 2020, 27(3): 326-336.
23. 楊曉娟, 王文歡, 鄒潔雅, 等. 乳腺癌術后三平面技術乳房假體重建的臨床效果分析. 腫瘤學雜志, 2024, 30(3): 231-235.
24. 李瑞青, 杜稼苓, 路選. 術后即刻雙平面乳房重建在早期乳腺癌患者中的應用效果. 中國醫刊, 2023, 58(10): 1111-1114.

Chinese Journal of Reparative and Reconstructive Surgery

Prospective comparative study of breast reconstruction with dual plane prosthesis implantation and anterior pectoralis prosthesis implantation under endoscopy

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content