Appliation of oncoplastic breast-conserving reconstruction for patients with early-stage breast cancer

Abstract

Objective To analyze the cosmetic effects and postoperative complications of patients with early breast cancer who underwent oncoplastic breast-conserving reconstruction and traditional breast-conserving surgery. Methods From January 2012 to October 2015, we collected a total of 67 patients with early-stage breast cancer who underwent breast-conserving surgery in Affiliated Mindong Hospital of Fujian Medical University. Thirty patients who underwent oncoplastic breast-conserving reconstruction were in observation group, and 37 patients who underwent traditional breast-conserving surgery were in the control group. The postoperative complications, cosmetic effects and survival situations in the two groups were compared. Results In the aesthetic effects evaluation, 22 patients (73.33%) and 16 patients (43.24%) had good or excellent cosmetic effects, 6 patients (20.00%) and 14 patients (37.84%) had general cosmetic effects, 2 patients (6.67%) and 7 patients (18.92%) had poor cosmetic effects in the observation group and control group, with a significant difference (Z=-2.513, P=0.012). Four patients (13.33%) in the observation group had postoperative complications, including that 1 patients had incisional dehiscence followed by incisional wound infection and skin necrosis, and 3 patients had subcutaneous exudates. However, 2 patients (5.41%) in the control group had postoperative complications, including 1 patients with incisional dehiscence, and 1 patients with incisional wound infection. There were no significant difference in the occurrence rates of postoperative complications in the two groups (χ2=0.490, P=0.484). The mean follow-up period was 28 months. We found 1 patients of local recurrence, and 2 patients of metastases in the control group. However, all patients were free of recurrence and metastases in the observation group, with no significant difference (P=0.140). Conclusion Oncoplastic surgical technique in the breast-conserving surgery for patients with early-stage breast cancer is a safe and effective procedure, with highly satisfactory cosmetic effects for the majority of patients, which is worth to recommend. Key words: Breast neoplasms; Mammaplasty; Reconstructive surgical procedures