A Novel Endoscopic Approach for Treating Breast Cancer: Haigui-1 Hole

Author:

Fan Pingming12,Lyu Pengfei1,Gao Fangfang1,Li Jingtai1,Wei Changyuan2,Du Guankui34ORCID

Affiliation:

1. Department of Breast Surgery, The First Affiliated Hospital of Hainan Medical University, Haikou, China

2. Department of Breast Surgery, Guangxi Medical University Cancer Hospital, Nanning, China

3. Key Laboratory of Tropical Translational Medicine of Ministry of Education, School of Basic Medicine and Life Sciences, Hainan Medical University, Haikou, China

4. Department of Biochemistry and Molecular Biology, Hainan Medical University, Haikou, China

Abstract

Objective Endoscopic surgery is an effective technique for preserving the nipple and areola, as well as for sentinel lymph node biopsy and breast implant reconstruction. However, the technical challenges associated with endoscopic surgery have limited its widespread adoption. Methods In the normal single-port endoscopic surgery, the ultrasonic knife was accessed through the retractor. In our modified procedure, a tiny 5 mm incision was made at the lateral margin underneath the breast, serving as the second entry port for the ultrasonic scalpel, which was referred to as the “Haigui-1 hole”. Preoperative and postoperative indicators such as blood loss, operative time, and postoperative drainage volume were collected. Differences between parameters were compared using Student’s t test. Results Endoscopic surgery with the assistance of the “Haigui-1 hole” led to preserved breast aesthetics with minimal scarring. Moreover, “Haigui-1 hole” surgery significantly reduced the operation time, intraoperative bleeding, and postoperative drainage volume compared to normal single-port endoscopic surgery. Conclusion The “Haigui-1 hole” procedure, which involves the addition of a second entrance to improve the maneuverability of the ultrasonic knife, is worthy of further promotion.

Funder

Natural Science Foundation of Hainan Province

Publisher

SAGE Publications

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