Clinical Experiences for Oncoplastic Breast Surgery Improve a Cosmetic Outcome and Reduce Postoperative Complications

Yuko Kijima, Munetsugu Hirata, Yoshiaki Shinden, Toshiaki Utsumi, Zenichi Morise and Shoji Natsugoe

Department of Breast Surgery, Fujita Health University, Japan
Department of Digestive Surgery, Fujita Health University, Japan
Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Japan

^*Correspondance to: Yuko Kijima 

 PDF  Full Text DOI: 10.25107/2474-1647.2145

Abstract

Purpose: We evaluate perioperative and cosmetic results of Oncoplastic Breast Surgery (OBS) for the Japanese patients with ptotic breasts according to time after introduction of this method. The study aims to investigate the effect of experience for new surgical technique in breast surgery.Methods: From March 2006 to December 2014, we performed OBS with volume displacement, combining partial mastectomy with reduction mammoplasty, for consecutive 57 patients with ptotic breasts in Kagoshima University Hospital. They were diagnosed having with early breast cancer indicated for partial mastectomy and did not receive any preoperative systemic therapy. Out of 57 patients, forty patients received volume displacement surgery on contralateral healthy breasts immediately. We retrospectively analyzed their perioperative results, postoperative complications, and cosmetic results according to time after we started OBS; early phase and late one.Results: On both phases, patient's age, menopausal status, body mass index, systemic disease, smoking, tumor location, axillary operation and operation type of OBS, there were no significant difference. Operation period and plastic period were significantly shorter in late phase than in early one (<0.05), while there were no significant differences in intraoperative bleeding, weight of resected breast tissue, pathological margins in both phases. A rate of vascular disorder of nipple-areola were fewer in late phase (<0.05), while there were no significant differences between two phases in rates of fat necrosis, hyper plastic disorder of the scar. On cosmetic evaluation, it was improved in late phase that percentages of excellent-good case on both phases were 85% and 100%, respectively.Conclusion: The techniques of OBS with volume displacement were improved perioperative, postoperative and cosmetic results after clinical experience in one institution.

Keywords

Breast cancer; Oncoplastic breast surgery; Ptotic breast; Volume displacement; Breast reduction

Cite the article

Kijima Y, Hirata M, Shinden Y, Utsumi T, Morise Z, Natsugoe S. Clinical Experiences for Oncoplastic Breast Surgery Improve a Cosmetic Outcome and Reduce Postoperative Complications. Clin Surg. 2018; 3: 2145.