Development of video-assisted breast cancer surgery: Initial experience with a novel method for creating working space without prior liposuction

Wu,Qian-Fu; Yu,Ying-Hua; Zhu,Xiao; Cui,Ying; Mo,Qin-Guo; Wei,Chang-Yuan; Lin,Xue-Juan; Liu,Xue-Ying; Xie,Wei-Kang; Gan,Shui; Lei,Wei

doi:10.3892/mco.2017.1279

Development of video-assisted breast cancer surgery: Initial experience with a novel method for creating working space without prior liposuction

Authors:
- Qian-Fu Wu
- Ying-Hua Yu
- Xiao Zhu
- Ying Cui
- Qin-Guo Mo
- Chang-Yuan Wei
- Xue-Juan Lin
- Xue-Ying Liu
- Wei-Kang Xie
- Shui Gan
- Wei Lei
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Affiliations: Department of General Surgery of Guiping People's Hospital, Guiping, Guangxi 537200, P.R. China, Department of Breast Surgery of Guangxi Cancer Hospital and Affiliated Cancer Hospital of Guangxi Medical University, Nanning, Guangxi 530021, P.R. China, Department of Experimental Research, The Affiliated Tumor Hospital of Guangxi Medical University, Nanning, Guangxi 530021, P.R. China
Published online on: May 31, 2017 https://doi.org/10.3892/mco.2017.1279
Pages: 32-38
Copyright: © Wu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Endoscopic techniques are promising in breast surgery. In order to create working space, liposuction is widely used in video-assisted breast surgery (VABS). However, the use of liposuction is likely associated with side effects that may partly limit the application of VABS. Therefore, a new technique of endoscopic axillary lymphadenectomy without prior liposuction was developed by our group. A total of 106 female patients underwent VABS, with special adaptation of the video-assisted surgical procedures previously described. Differing from other endoscopic surgery techniques, our adaptations of VABS included the selection of the working instruments, trocar placement, creation of working space, order of axillary lymph node dissection and method of mastectomy. The operative time was 50-180 min (mean, 85.5 min). The intraoperative blood loss ranged from 20 to 100 ml (mean, 48 ml). The mean lymph node number harvested was 11.5 (range, 6-31). No serious intra- or postoperative complications were recorded. There was no axillary tumor relapse, trocar site tumor implantation or upper limb edema. Without prior liposuction, our new technique of VABS reduced the blood loss volume, endoscopic surgery time, total volume of drainage fluid and, most importantly, the risk of port-site metastases. This new technique appears to have great clinical potential and good prospects for future endoscopic breast surgery development.

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