Biomedical Research

Objective: This study aims to investigate the clinical curative effect of Video-Assisted Breast Surgery (VABS) by single incision through the anterior axillary line for removing mammary fibroma.

Methods: Sixty-eight mammary fibroma cases treated in the hospital from November 2013 to June 2015 were selected and randomly divided into control and observation groups (34 cases per group). The control group was subjected to conventional ring areola incision, and the observation group was subjected to VABS by single incision through the anterior axillary line. Intraoperative blood loss, incision length, postoperative complication, and cosmetic effects after the operation were determined and compared between the two groups.

Results: The observation group showed shorter incision length and hospital stay and less intraoperative blood losses than those in the control group (p<0.05). Operation duration was not significantly different between the two groups (p>0.05). The complication rates in the observation and control groups were 5.88% and 23.33%, respectively (p<0.05). The Vancouver scar scale score in the observation group was lower than that in the control group. Furthermore, breast appearance satisfaction score in the observation group was significantly higher than that in the control group (p<0.05).

Conclusion: Patients with mammary fibroma who underwent VABS received improved clinical curative effects in terms of few intraoperative injuries, fast recovery after the surgery, low complication rate, non-restricted lesion depth limit, and satisfactory cosmetic effect. Overall, this technique improved the prognosis of the patients.

Author(s): Yanxiang Guo, Wei Li
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