Breast

Cancer and Reconstruction

Video-Assisted Skin-Sparing Breast-Conserving Surgery for Breast Cancer and Immediate Reconstruction with Autologous Tissue

Nakajima H, Fujiwara I, Mizuta N, et al (Kyoto Prefectural Univ of Medicine, Japan) Ann Surg 249:91-96, 2009^§

S.H. Miller, MD, MPH

Evidence Ranking

• C

Expert Rating

• 2

Abstract

Objective

To analyze therapeutic results of video-assisted breast-conserving surgery (VA-BCS) for early stage breast cancer.

Background

VA-BCS for breast cancer has been developed in Japan, and is indicated for breast cancer unaccompanied by skin involvement. The surgical incision is made at an inconspicuous site, followed by skin-sparing partial mastectomy (SSPM) and immediate reconstruction of the breast. This technique affords good cosmetic results. The long-term results are reported herein.

Methods

VA-BCS was performed on 551 patients. The skin incision was made as a peri-areolar incision or at the midaxillary line. Skin-sparing partial mastectomy was performed using an endoscope and the lifting and tunneling method. Morbidity, curability, and degree of satisfaction with regard to cosmesis were analyzed.