| Title |
Dviejų krūtį tausojančių operacijų – pusmėnulinės segmentektomijos ir naviką adaptuojančios mastopeksijos palyginimas: monocentrinis tyrimas / |
| Translation of Title |
Comparison of tumor-adapted mastopexy with semilunar segmentectomy – monocentric study. |
| Authors |
Kravalis, S ; Mayer, J ; Hippach, M ; Reichel-mayer, B ; Drąsutienė, Gražina Stanislava |
| DOI |
10.15388/LietChirur.2012.3.2866 |
| Full Text |
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| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2012, t. 11, Nr. 3-4, p. 72-78.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
breast-conserving surgery (BCS) ; oncoplastic surgery ; tumor-adapted mastopexy |
| Abstract [eng] |
ObjectiveTumor-adapted periareolar mastopexy is a breast-conserving oncoplastic surgery method in the breast cancer treatment. The aim of this study was a comparison of breast-conserving surgeries, tumor-adapted periareolar mastopexy vs. the usual semilunar segmentectomy, determination of characteristic properties, advantages and disadvantages when choosing one or another surgery method. MethodsData on patients from 2008–2009 were retrospectively examined. All patients underwent surgery for primary breast carci-noma by semilunar segmentectomy (n = 136) or by pariareolar tumor-adapted mastopexy (n = 131) at the Breast Center of the Ammerland Clinic in Westerstede, Germany. Both surgical techniques were analyzed on various criteria, such as tumor / breast-relation, BMI, resection weight, etc. The data analysis was performed using Student’s t-test or the Chi-square (χ2) test, the correlation by Pearson and Kendall’s Tau-b (r) when p < 0.05.ResultsThe removed tissue weight (36.96 ± 20.68 g vs. 53.13 ± 33.03 g, p = 0.0001, p < 0.05) and the diameter of the tumor (17.63 ± 11.94 mm vs. 25.77 ± 17.25 mm, p = 0.0001, p < 0.05) were larger in the tumor-adapted mastopexy patient group than in the semilunar segmentectomy group. For women with small breasts, mastopexy was used more frequently, p = 0.008, p < 0.05.The number of secondary surgeries (both groups about 30 perc., (p = 0.351) and the distance between the tumor and the resection margin were the same for both surgical procedures (segmentectomy – 5.52 ± 2.59 mm and mastopexy – 5.88 ± 2.87 mm, p = 0.377). The duration of surgery was 1.7 times longer in mastopexy than in the other technique (113.4 ± 29.42 min vs. 67.61 ± 26 min, p = 0.001, p < 0.05). The complication rate was the same in both methods, p = 0.34.ConclusionPeriareolar tumor-adapted mastopexy allows removing larger tumors than the semicircular segmentectomy. Mastopexy can be indicated for women with a lower BMI and smaller breasts. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2012 |
| CC license |
|
