Single-port non-lipolytic endoscopic surgery via the axillary approach for the treatment of benign breast tumors has better clinical outcomes: a case control study

Abstract Background Endoscopic surgery provides good cosmetic results while ensuring therapeutic outcomes. This study aimed to evaluate the efficacy, safety, and cosmetic outcome of endoscopic surgery for benign breast tumors. Methods In total, 108 patients were enrolled and divided into endoscopic...

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Main Authors: Tianyi Ma, Jian Cui, Qian Wang, Changgen Liu, Bin Wang, Haibo Wang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Women's Health
Subjects:
Online Access:https://doi.org/10.1186/s12905-025-03563-z
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author Tianyi Ma
Jian Cui
Qian Wang
Changgen Liu
Bin Wang
Haibo Wang
author_facet Tianyi Ma
Jian Cui
Qian Wang
Changgen Liu
Bin Wang
Haibo Wang
author_sort Tianyi Ma
collection DOAJ
description Abstract Background Endoscopic surgery provides good cosmetic results while ensuring therapeutic outcomes. This study aimed to evaluate the efficacy, safety, and cosmetic outcome of endoscopic surgery for benign breast tumors. Methods In total, 108 patients were enrolled and divided into endoscopic or open surgery groups based on the patients' voluntary decisions. Surgical information, complications, postoperative pain, and postoperative cosmetic scores were compared. Results The endoscopic surgery group and open surgery group included 46 and 62 patients, respectively. Patients who underwent endoscopic surgery had longer operative times (p < 0.001) and postoperative hospital stays (p = 0.045), and there was no significant difference in intraoperative blood loss between the two groups (p = 0.501). The overall postoperative complication rate was 13% in the endoscopic group and 25.8% in the open group (p = 0.103). Postoperative pain scores were similar in both groups. Cosmetic scores were better in the endoscopic group (p = 0.002), especially regarding nipple shape and wound scarring. Conclusions Endoscopic surgery is safe and effective for treating benign breast tumors and offers improved cosmetic results compared to open surgery.
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spelling doaj-art-cf74f9429a8d43cca7f9810469f1cc5d2025-01-19T12:37:35ZengBMCBMC Women's Health1472-68742025-01-012511810.1186/s12905-025-03563-zSingle-port non-lipolytic endoscopic surgery via the axillary approach for the treatment of benign breast tumors has better clinical outcomes: a case control studyTianyi Ma0Jian Cui1Qian Wang2Changgen Liu3Bin Wang4Haibo Wang5Department of Breast Center, the Affiliated Hospital of Qingdao UniversityDepartment of Breast Center, the Affiliated Hospital of Qingdao UniversitySchool of Basic Medicine, Qingdao UniversityDepartment of Breast Center, the Affiliated Hospital of Qingdao UniversitySchool of Basic Medicine, Qingdao UniversityDepartment of Breast Center, the Affiliated Hospital of Qingdao UniversityAbstract Background Endoscopic surgery provides good cosmetic results while ensuring therapeutic outcomes. This study aimed to evaluate the efficacy, safety, and cosmetic outcome of endoscopic surgery for benign breast tumors. Methods In total, 108 patients were enrolled and divided into endoscopic or open surgery groups based on the patients' voluntary decisions. Surgical information, complications, postoperative pain, and postoperative cosmetic scores were compared. Results The endoscopic surgery group and open surgery group included 46 and 62 patients, respectively. Patients who underwent endoscopic surgery had longer operative times (p < 0.001) and postoperative hospital stays (p = 0.045), and there was no significant difference in intraoperative blood loss between the two groups (p = 0.501). The overall postoperative complication rate was 13% in the endoscopic group and 25.8% in the open group (p = 0.103). Postoperative pain scores were similar in both groups. Cosmetic scores were better in the endoscopic group (p = 0.002), especially regarding nipple shape and wound scarring. Conclusions Endoscopic surgery is safe and effective for treating benign breast tumors and offers improved cosmetic results compared to open surgery.https://doi.org/10.1186/s12905-025-03563-zBenign breast tumorEndoscopySingle-portNon-lipolytic
spellingShingle Tianyi Ma
Jian Cui
Qian Wang
Changgen Liu
Bin Wang
Haibo Wang
Single-port non-lipolytic endoscopic surgery via the axillary approach for the treatment of benign breast tumors has better clinical outcomes: a case control study
BMC Women's Health
Benign breast tumor
Endoscopy
Single-port
Non-lipolytic
title Single-port non-lipolytic endoscopic surgery via the axillary approach for the treatment of benign breast tumors has better clinical outcomes: a case control study
title_full Single-port non-lipolytic endoscopic surgery via the axillary approach for the treatment of benign breast tumors has better clinical outcomes: a case control study
title_fullStr Single-port non-lipolytic endoscopic surgery via the axillary approach for the treatment of benign breast tumors has better clinical outcomes: a case control study
title_full_unstemmed Single-port non-lipolytic endoscopic surgery via the axillary approach for the treatment of benign breast tumors has better clinical outcomes: a case control study
title_short Single-port non-lipolytic endoscopic surgery via the axillary approach for the treatment of benign breast tumors has better clinical outcomes: a case control study
title_sort single port non lipolytic endoscopic surgery via the axillary approach for the treatment of benign breast tumors has better clinical outcomes a case control study
topic Benign breast tumor
Endoscopy
Single-port
Non-lipolytic
url https://doi.org/10.1186/s12905-025-03563-z
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