A brief introduction to the clinical pathway of the endoscopic-assisted immediate implant-based breast reconstruction after nipple sparing mastectomy for breast cancer patients in day surgery center of West China Hospital_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHOU Jiao , LIANG Faqing , XIE Yanyan , WEN Nan , ZHANG Songbo , FENG Yu , LIU Xinran , HUANG Yixuan , YANG Huanzuo , QIU Mengxue , LV Qing ,  DU Zhenggui

Department of Breast Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding author：

DU Zhenggui, Email: docduzg@163.com

Keywords：

Day surgery; endoscopy; inverse sequence; prosthesis reconstruction; breast cancer; clinical pathway

DOI：

10.7507/1007-4848.202107040

Video：

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The traditional view is that breast reconstruction is not an option for day surgery center. As a result, few hospitals in the world conduct this operation in day surgery center. Endoscopic breast reconstruction with liposuction and robot-assisted breast reconstruction are minimally invasive surgeries for breast cancer patients, but they cannot be carried out in the day surgery center due to long operation time. The novel endoscopic-assisted immediate implant-based breast reconstruction after nipple sparing mastectomy through a single axillary incision for breast cancer patients has been successfully conducted in the day surgery center in our hospital due to short operation time and small trauma. Standardized management of the complete process from the patient selection to follow-up after discharge brings rapid recovery and few complications. At the same time, the development of endoscopic surgery makes the breast almost scarless and improves aesthetic results. Therefore, the mode of endoscopic-assisted reconstruction in the day surgery center of our hospital is expected to be popularized in the whole country.

Citation： ZHOU Jiao, LIANG Faqing, XIE Yanyan, WEN Nan, ZHANG Songbo, FENG Yu, LIU Xinran, HUANG Yixuan, YANG Huanzuo, QIU Mengxue, LV Qing, DU Zhenggui. A brief introduction to the clinical pathway of the endoscopic-assisted immediate implant-based breast reconstruction after nipple sparing mastectomy for breast cancer patients in day surgery center of West China Hospital. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2021, 28(12): 1393-1399. doi: 10.7507/1007-4848.202107040 Copy

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21.	Askitas N, Tatsiramos K, Verheyden B. Estimating worldwide effects of non-pharmaceutical interventions on COVID-19 incidence and population mobility patterns using a multiple-event study. Sci Rep, 2021, 11(1): 1972.
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23.	Hunt KK, Euhus DM, Boughey JC, et al. Society of Surgical Oncology Breast Disease Working Group statement on prophylactic (risk-reducing) mastectomy. Ann Surg Oncol, 2017, 24(2): 375-397.
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1. 刘蔚东. 日间手术合理调配诊疗资源. 中国卫生人才, 2016, 3: 27-30.
2. 汪雅璇. 基于平均住院日的我国医院资源优化配置研究. 天津医科大学, 2016.
3. 袁磊, 李亮, 钱招昕, 等. 开展日间手术对平均住院日影响的间断时间序列分析. 中华医院管理杂志, 2018, 34(10): 805-809.
4. 观荣贵, 王琳环, 曾晓华, 等. 日间化疗中心 PIVAS 药物配置快速通道的应用及效果分析. 现代医院, 2018, 18(7): 941-943.
5. 嵇武, 刘亚萍. 我国日间手术开展现状与前景展望. 中国实用外科杂志, 2020, 40(2): 199-202.
6. Pivot D, Hoch G, Astruc K, et al. A systematic review of surgical site infections following day surgery: A frequentist and a Bayesian meta-analysis of prevalence. J Hosp Infect, 2019, 101(2): 196-209.
7. Xia S, Tong Z, Shi A, et al. Exploration of day-surgery photoselective vaporization of the prostate (PVP) in Chinese population. Lasers Med Sci, 2020, 35(7): 1503-1507.
8. Dauplat J, Thivat E, Rouanet P, et al. Risk factors associated with complications after unilateral immediate breast reconstruction: A French prospective multicenter study. In Vivo, 2021, 35(2): 937-945.
9. Kim M, Ku I, Jin US. Diagnosis and management of toxic shock syndrome after breast reconstructive procedures with silicone implants. Arch Plast Surg, 2021, 48(2): 189-193.
10. Cordeiro E, Zhong T, Jackson T, et al. The safety of same-day breast reconstructive surgery: An analysis of short-term outcomes. Am J Surg, 2017, 214(3): 495-500.
11. Perez-Alvarez IM, Bartholomew AJ, King CA, et al. Breast surgery in the time of global pandemic: Benefits of same-day surgery for breast cancer patients undergoing mastectomy with immediate reconstruction during COVID-19. Plast Reconstr Surg, 2020, 146(4): 522e-523e.
12. 范林军, 姜军, 杨新华, 等. 全腔镜乳房皮下腺体切除术: 附96例报告. 中华乳腺病杂志(电子版), 2008, 2(4): 407-416.
13. 柯兰兰, 洪卢晓, 翁晶晶. 日间手术术前管理及效果研究. 医院管理论坛, 2020, 37(5): 14-16.
14. 屈翔, 王子函, 王劲夫, 等. 腔镜手术在乳腺癌外科的应用与前景. 中国实用外科杂志, 2018, 38(11): 1245-1248.
15. Lai HW, Chen ST, Mok CW, et al. Single-port three-dimensional (3D) videoscope-assisted endoscopic nipple-sparing mastectomy in the management of breast cancer: Technique, clinical outcomes, medical cost, learning curve, and patient-reported aesthetic results from 80 preliminary procedures. Ann Surg Oncol, 2021. [Epub ahead of print].
16. 陈莉. 机器人和腔镜背阔肌乳房重建关键技术. 中国实用外科杂志, 2020, 40(10): 1149-1152.
17. Zhou J, Liu X, Feng Y, et al. Breakthrough in breast reconstruction in the context of COVID-19: Safety and efficiency of endoscopic breast reconstruction at a day surgery center. Gland Surg, 2021, 10(8): 2477-2489.
18. 冯玉, 谢妍妍, 梁法清, 等. 日间乳腺癌皮下单纯切除术后一期假体重建的华西经验. 中国普通外科杂志, 2021, 30(5): 543-550.
19. 刘馨然, 谢妍妍, 梁法清, 等. 腋窝入路腔镜下乳腺癌根治假体结合补片在一期乳房重建中的应用. 中国修复重建外科杂志, 2021, 35(9): 1212-1214.
20. 覃湘泉, 王甜甜, 谢妍妍, 等. 腋窝入路腔镜乳腺癌皮下腺体切除联合胸肌前假体+补片Ⅰ期乳房重建的创新探索. 中国胸心血管外科临床杂志, 2021, 28(9): 1029-1036.
21. Askitas N, Tatsiramos K, Verheyden B. Estimating worldwide effects of non-pharmaceutical interventions on COVID-19 incidence and population mobility patterns using a multiple-event study. Sci Rep, 2021, 11(1): 1972.
22. Zeng C, Zhang J, Li Z, et al. Spatial-temporal relationship between population mobility and COVID-19 outbreaks in south Carolina: Time series forecasting analysis. J Med Internet Res, 2021, 23(4): e27045.
23. Hunt KK, Euhus DM, Boughey JC, et al. Society of Surgical Oncology Breast Disease Working Group statement on prophylactic (risk-reducing) mastectomy. Ann Surg Oncol, 2017, 24(2): 375-397.
24. 中华医学会麻醉学分会. 日间手术麻醉专家共识. 临床麻醉学杂志, 2016, 32(10): 1017-1022.
25. 苑伟, 雷甜甜, 文茂瑶, 等. 四川大学华西医院日间手术患者管理模式初探. 华西医学, 2019, 34(2): 188-192.

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A brief introduction to the clinical pathway of the endoscopic-assisted immediate implant-based breast reconstruction after nipple sparing mastectomy for breast cancer patients in day surgery center of West China Hospital

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