Utility of the periareolar incision technique for breast reconstructive surgery in patients with breast cancer
Purpose Periareolar incisions for nipple-sparing mastectomy offer the advantages of smaller inconspicuous wounds and easier resection below the nipple–areolar complex. However, they provide a narrow surgical field, which complicates the procedure and carries a risk of nipple necrosis. This study eva...
Gespeichert in:
| Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 2020-09, Vol.50 (9), p.1008-1015 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1015 |
|---|---|
| container_issue | 9 |
| container_start_page | 1008 |
| container_title | Surgery today (Tokyo, Japan) |
| container_volume | 50 |
| creator | Seki, Hirohito Sakurai, Takashi Maeda, Yuka Oki, Naohiko Aoyama, Mina Yamaguchi, Ryo Shimizu, Ken |
| description | Purpose
Periareolar incisions for nipple-sparing mastectomy offer the advantages of smaller inconspicuous wounds and easier resection below the nipple–areolar complex. However, they provide a narrow surgical field, which complicates the procedure and carries a risk of nipple necrosis. This study evaluated the clinical outcomes and safety of periareolar incisions for breast reconstructive surgery in patients with breast cancer.
Methods
The study included 181 patients with primary operable breast cancer who underwent nipple-sparing mastectomy for reconstructive breast procedures without intraoperative nipple-areolar complex resection. The clinical outcomes and complications were retrospectively evaluated. The recurrence-free survival was compared using Kaplan–Meier curves.
Results
Nipple-sparing mastectomy was performed via inframammary fold and periareolar incisions in 31 and 150 patients, respectively. There were no significant differences in clinical outcomes related to surgery, frequency of complications, nipple necrosis (inframammary fold incision vs. periareolar incision: 0% vs. 3.3%,
P
= 0.590), or the recurrence-free survival (
P
= 0.860) between the 2 groups.
Conclusion
Our results showed that the clinical outcomes and complication rates of periareolar incisions for breast reconstruction were equivalent to those of inframammary fold incisions, suggesting that the periareolar incision technique for breast reconstructive surgery may safely improve cosmetic outcomes if done with adequate care. |
| doi_str_mv | 10.1007/s00595-020-01975-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_sprin</sourceid><recordid>TN_cdi_proquest_miscellaneous_2354737483</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2354737483</sourcerecordid><originalsourceid>FETCH-LOGICAL-c371t-28151d8bdee00affaf9aae03d71f26dc73cdaf2427f3aa7bdf399e47f0e75d7f3</originalsourceid><addsrcrecordid>eNqNkU1LHTEYhUOx1FvbP-BCshTKtG8-xsws5dIPQeimrkMm86Y3Mje5Jhll_n1jR12Kq4TwnMPhCSGnDL4yAPUtA7R92wCHBliv2mZ5RzZMiouGd0wckQ30kjWM9-yYfMz5FoDLDuADORYcWs46uSHhpvjJl4VGR8sO6QGTNwnjZBL1wfrsY6AF7S74uxmpi4kOCU0uNKGNIZc02-LvkeY5_cW01BA9mOIxlEwffNk949YEi-kTee_MlPHz03lCbn58_7P91Vz__nm1vbxurFCsPO5v2dgNIyKAcc643hgEMSrm-MVolbCjcVxy5YQxahid6HuUygGqdqyPJ-R87T2kWHfnovc-W5wmEzDOWXPRSiWU7ERF-YraFHNO6PQh-b1Ji2agHz3r1bOunvV_z3qpobOn_nnY4_gSeRZbgS8r8IBDdNlWIRZfMKiNTIDseb0Bq3T3dnrrSxUcwzbOodSoWKO54qF-gb6NcwpV7mv7_wF5JK2b</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2354737483</pqid></control><display><type>article</type><title>Utility of the periareolar incision technique for breast reconstructive surgery in patients with breast cancer</title><source>SpringerLink Journals - AutoHoldings</source><creator>Seki, Hirohito ; Sakurai, Takashi ; Maeda, Yuka ; Oki, Naohiko ; Aoyama, Mina ; Yamaguchi, Ryo ; Shimizu, Ken</creator><creatorcontrib>Seki, Hirohito ; Sakurai, Takashi ; Maeda, Yuka ; Oki, Naohiko ; Aoyama, Mina ; Yamaguchi, Ryo ; Shimizu, Ken</creatorcontrib><description>Purpose
Periareolar incisions for nipple-sparing mastectomy offer the advantages of smaller inconspicuous wounds and easier resection below the nipple–areolar complex. However, they provide a narrow surgical field, which complicates the procedure and carries a risk of nipple necrosis. This study evaluated the clinical outcomes and safety of periareolar incisions for breast reconstructive surgery in patients with breast cancer.
Methods
The study included 181 patients with primary operable breast cancer who underwent nipple-sparing mastectomy for reconstructive breast procedures without intraoperative nipple-areolar complex resection. The clinical outcomes and complications were retrospectively evaluated. The recurrence-free survival was compared using Kaplan–Meier curves.
Results
Nipple-sparing mastectomy was performed via inframammary fold and periareolar incisions in 31 and 150 patients, respectively. There were no significant differences in clinical outcomes related to surgery, frequency of complications, nipple necrosis (inframammary fold incision vs. periareolar incision: 0% vs. 3.3%,
P
= 0.590), or the recurrence-free survival (
P
= 0.860) between the 2 groups.
Conclusion
Our results showed that the clinical outcomes and complication rates of periareolar incisions for breast reconstruction were equivalent to those of inframammary fold incisions, suggesting that the periareolar incision technique for breast reconstructive surgery may safely improve cosmetic outcomes if done with adequate care.</description><identifier>ISSN: 0941-1291</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/s00595-020-01975-y</identifier><identifier>PMID: 32052184</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Life Sciences & Biomedicine ; Medicine ; Medicine & Public Health ; Original Article ; Science & Technology ; Surgery ; Surgical Oncology</subject><ispartof>Surgery today (Tokyo, Japan), 2020-09, Vol.50 (9), p.1008-1015</ispartof><rights>Springer Nature Singapore Pte Ltd. 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>5</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000513049200001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c371t-28151d8bdee00affaf9aae03d71f26dc73cdaf2427f3aa7bdf399e47f0e75d7f3</citedby><cites>FETCH-LOGICAL-c371t-28151d8bdee00affaf9aae03d71f26dc73cdaf2427f3aa7bdf399e47f0e75d7f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00595-020-01975-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00595-020-01975-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32052184$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Seki, Hirohito</creatorcontrib><creatorcontrib>Sakurai, Takashi</creatorcontrib><creatorcontrib>Maeda, Yuka</creatorcontrib><creatorcontrib>Oki, Naohiko</creatorcontrib><creatorcontrib>Aoyama, Mina</creatorcontrib><creatorcontrib>Yamaguchi, Ryo</creatorcontrib><creatorcontrib>Shimizu, Ken</creatorcontrib><title>Utility of the periareolar incision technique for breast reconstructive surgery in patients with breast cancer</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><addtitle>SURG TODAY</addtitle><addtitle>Surg Today</addtitle><description>Purpose
Periareolar incisions for nipple-sparing mastectomy offer the advantages of smaller inconspicuous wounds and easier resection below the nipple–areolar complex. However, they provide a narrow surgical field, which complicates the procedure and carries a risk of nipple necrosis. This study evaluated the clinical outcomes and safety of periareolar incisions for breast reconstructive surgery in patients with breast cancer.
Methods
The study included 181 patients with primary operable breast cancer who underwent nipple-sparing mastectomy for reconstructive breast procedures without intraoperative nipple-areolar complex resection. The clinical outcomes and complications were retrospectively evaluated. The recurrence-free survival was compared using Kaplan–Meier curves.
Results
Nipple-sparing mastectomy was performed via inframammary fold and periareolar incisions in 31 and 150 patients, respectively. There were no significant differences in clinical outcomes related to surgery, frequency of complications, nipple necrosis (inframammary fold incision vs. periareolar incision: 0% vs. 3.3%,
P
= 0.590), or the recurrence-free survival (
P
= 0.860) between the 2 groups.
Conclusion
Our results showed that the clinical outcomes and complication rates of periareolar incisions for breast reconstruction were equivalent to those of inframammary fold incisions, suggesting that the periareolar incision technique for breast reconstructive surgery may safely improve cosmetic outcomes if done with adequate care.</description><subject>Life Sciences & Biomedicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Science & Technology</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><recordid>eNqNkU1LHTEYhUOx1FvbP-BCshTKtG8-xsws5dIPQeimrkMm86Y3Mje5Jhll_n1jR12Kq4TwnMPhCSGnDL4yAPUtA7R92wCHBliv2mZ5RzZMiouGd0wckQ30kjWM9-yYfMz5FoDLDuADORYcWs46uSHhpvjJl4VGR8sO6QGTNwnjZBL1wfrsY6AF7S74uxmpi4kOCU0uNKGNIZc02-LvkeY5_cW01BA9mOIxlEwffNk949YEi-kTee_MlPHz03lCbn58_7P91Vz__nm1vbxurFCsPO5v2dgNIyKAcc643hgEMSrm-MVolbCjcVxy5YQxahid6HuUygGqdqyPJ-R87T2kWHfnovc-W5wmEzDOWXPRSiWU7ERF-YraFHNO6PQh-b1Ji2agHz3r1bOunvV_z3qpobOn_nnY4_gSeRZbgS8r8IBDdNlWIRZfMKiNTIDseb0Bq3T3dnrrSxUcwzbOodSoWKO54qF-gb6NcwpV7mv7_wF5JK2b</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>Seki, Hirohito</creator><creator>Sakurai, Takashi</creator><creator>Maeda, Yuka</creator><creator>Oki, Naohiko</creator><creator>Aoyama, Mina</creator><creator>Yamaguchi, Ryo</creator><creator>Shimizu, Ken</creator><general>Springer Singapore</general><general>Springer Nature</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20200901</creationdate><title>Utility of the periareolar incision technique for breast reconstructive surgery in patients with breast cancer</title><author>Seki, Hirohito ; Sakurai, Takashi ; Maeda, Yuka ; Oki, Naohiko ; Aoyama, Mina ; Yamaguchi, Ryo ; Shimizu, Ken</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-28151d8bdee00affaf9aae03d71f26dc73cdaf2427f3aa7bdf399e47f0e75d7f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Life Sciences & Biomedicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Science & Technology</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seki, Hirohito</creatorcontrib><creatorcontrib>Sakurai, Takashi</creatorcontrib><creatorcontrib>Maeda, Yuka</creatorcontrib><creatorcontrib>Oki, Naohiko</creatorcontrib><creatorcontrib>Aoyama, Mina</creatorcontrib><creatorcontrib>Yamaguchi, Ryo</creatorcontrib><creatorcontrib>Shimizu, Ken</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery today (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Seki, Hirohito</au><au>Sakurai, Takashi</au><au>Maeda, Yuka</au><au>Oki, Naohiko</au><au>Aoyama, Mina</au><au>Yamaguchi, Ryo</au><au>Shimizu, Ken</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Utility of the periareolar incision technique for breast reconstructive surgery in patients with breast cancer</atitle><jtitle>Surgery today (Tokyo, Japan)</jtitle><stitle>Surg Today</stitle><stitle>SURG TODAY</stitle><addtitle>Surg Today</addtitle><date>2020-09-01</date><risdate>2020</risdate><volume>50</volume><issue>9</issue><spage>1008</spage><epage>1015</epage><pages>1008-1015</pages><issn>0941-1291</issn><eissn>1436-2813</eissn><abstract>Purpose
Periareolar incisions for nipple-sparing mastectomy offer the advantages of smaller inconspicuous wounds and easier resection below the nipple–areolar complex. However, they provide a narrow surgical field, which complicates the procedure and carries a risk of nipple necrosis. This study evaluated the clinical outcomes and safety of periareolar incisions for breast reconstructive surgery in patients with breast cancer.
Methods
The study included 181 patients with primary operable breast cancer who underwent nipple-sparing mastectomy for reconstructive breast procedures without intraoperative nipple-areolar complex resection. The clinical outcomes and complications were retrospectively evaluated. The recurrence-free survival was compared using Kaplan–Meier curves.
Results
Nipple-sparing mastectomy was performed via inframammary fold and periareolar incisions in 31 and 150 patients, respectively. There were no significant differences in clinical outcomes related to surgery, frequency of complications, nipple necrosis (inframammary fold incision vs. periareolar incision: 0% vs. 3.3%,
P
= 0.590), or the recurrence-free survival (
P
= 0.860) between the 2 groups.
Conclusion
Our results showed that the clinical outcomes and complication rates of periareolar incisions for breast reconstruction were equivalent to those of inframammary fold incisions, suggesting that the periareolar incision technique for breast reconstructive surgery may safely improve cosmetic outcomes if done with adequate care.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>32052184</pmid><doi>10.1007/s00595-020-01975-y</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0941-1291 |
| ispartof | Surgery today (Tokyo, Japan), 2020-09, Vol.50 (9), p.1008-1015 |
| issn | 0941-1291 1436-2813 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2354737483 |
| source | SpringerLink Journals - AutoHoldings |
| subjects | Life Sciences & Biomedicine Medicine Medicine & Public Health Original Article Science & Technology Surgery Surgical Oncology |
| title | Utility of the periareolar incision technique for breast reconstructive surgery in patients with breast cancer |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-18T15%3A00%3A35IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_sprin&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Utility%20of%20the%20periareolar%20incision%20technique%20for%20breast%20reconstructive%20surgery%20in%20patients%20with%20breast%20cancer&rft.jtitle=Surgery%20today%20(Tokyo,%20Japan)&rft.au=Seki,%20Hirohito&rft.date=2020-09-01&rft.volume=50&rft.issue=9&rft.spage=1008&rft.epage=1015&rft.pages=1008-1015&rft.issn=0941-1291&rft.eissn=1436-2813&rft_id=info:doi/10.1007/s00595-020-01975-y&rft_dat=%3Cproquest_sprin%3E2354737483%3C/proquest_sprin%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2354737483&rft_id=info:pmid/32052184&rfr_iscdi=true |