“Moving window” operation for breast-conserving surgery

Background Although endoscope-assisted surgery has been used for partial mastectomy to improve the cosmetic outcome, this procedure may be somewhat cumbersome, thereby increasing operating time and blood loss. Moreover, the use of expensive disposable endoscopic instruments is required. Methods We h...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Noguchi, Masakuni [verfasserIn] Inokuchi, Masashi

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2009

Schlagwörter:	Breast-conserving surgery Axillary dissection Wound retractor Moving window

Anmerkung:	© The Japanese Breast Cancer Society 2009

Übergeordnetes Werk:	Enthalten in: Breast cancer - Berlin : Springer, 1994, 17(2009), 1 vom: 22. Apr.
Übergeordnetes Werk:	volume:17 ; year:2009 ; number:1 ; day:22 ; month:04

Links:	Volltext

DOI / URN:	10.1007/s12282-009-0104-1

Katalog-ID:	SPR024763454

Internformat


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520			\|a Background Although endoscope-assisted surgery has been used for partial mastectomy to improve the cosmetic outcome, this procedure may be somewhat cumbersome, thereby increasing operating time and blood loss. Moreover, the use of expensive disposable endoscopic instruments is required. Methods We have performed partial mastectomy via a small periareolar incision (transareolar approach) and/or axillary incision (transaxillary approach) using a wound retractor and bipolar scissors without disposable endoscopic instruments in 58 patients with noninvasive or invasive breast cancer. Axillary lymph node dissection is also performed via small axillary incision using a wound retractor and bipolar scissors. Results Average surgical duration was 132 min in transareolar approach and 125 min in transaxillary approach. Average blood loss was 38 and 48 ml, respectively. Postoperatively, the margin of resected breast tissue was histologically confirmed to be negative in 56 of 58 patients (97%) patients. Postoperative appearance of conserved breast was excellent in many patients, unless a large volume of breast tissue was removed. Conclusion A wound retractor provides maximum exposure with minimum incision size, thereby allows performance of breast-conserving surgery via a small periareolar and/or axillary incision in patients with a nipple–areola complex that is mobile and not small. It can reduce operating time and blood loss when compared with endoscope-assisted partial mastectomy.
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publishDate	2009
allfields	10.1007/s12282-009-0104-1 doi (DE-627)SPR024763454 (SPR)s12282-009-0104-1-e DE-627 ger DE-627 rakwb eng Noguchi, Masakuni verfasserin aut “Moving window” operation for breast-conserving surgery 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Japanese Breast Cancer Society 2009 Background Although endoscope-assisted surgery has been used for partial mastectomy to improve the cosmetic outcome, this procedure may be somewhat cumbersome, thereby increasing operating time and blood loss. Moreover, the use of expensive disposable endoscopic instruments is required. Methods We have performed partial mastectomy via a small periareolar incision (transareolar approach) and/or axillary incision (transaxillary approach) using a wound retractor and bipolar scissors without disposable endoscopic instruments in 58 patients with noninvasive or invasive breast cancer. Axillary lymph node dissection is also performed via small axillary incision using a wound retractor and bipolar scissors. Results Average surgical duration was 132 min in transareolar approach and 125 min in transaxillary approach. Average blood loss was 38 and 48 ml, respectively. Postoperatively, the margin of resected breast tissue was histologically confirmed to be negative in 56 of 58 patients (97%) patients. Postoperative appearance of conserved breast was excellent in many patients, unless a large volume of breast tissue was removed. Conclusion A wound retractor provides maximum exposure with minimum incision size, thereby allows performance of breast-conserving surgery via a small periareolar and/or axillary incision in patients with a nipple–areola complex that is mobile and not small. It can reduce operating time and blood loss when compared with endoscope-assisted partial mastectomy. Breast-conserving surgery (dpeaa)DE-He213 Axillary dissection (dpeaa)DE-He213 Wound retractor (dpeaa)DE-He213 Moving window (dpeaa)DE-He213 Inokuchi, Masashi aut Enthalten in Breast cancer Berlin : Springer, 1994 17(2009), 1 vom: 22. Apr. (DE-627)548636184 (DE-600)2394259-9 1880-4233 nnns volume:17 year:2009 number:1 day:22 month:04 https://dx.doi.org/10.1007/s12282-009-0104-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 17 2009 1 22 04
spelling	10.1007/s12282-009-0104-1 doi (DE-627)SPR024763454 (SPR)s12282-009-0104-1-e DE-627 ger DE-627 rakwb eng Noguchi, Masakuni verfasserin aut “Moving window” operation for breast-conserving surgery 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Japanese Breast Cancer Society 2009 Background Although endoscope-assisted surgery has been used for partial mastectomy to improve the cosmetic outcome, this procedure may be somewhat cumbersome, thereby increasing operating time and blood loss. Moreover, the use of expensive disposable endoscopic instruments is required. Methods We have performed partial mastectomy via a small periareolar incision (transareolar approach) and/or axillary incision (transaxillary approach) using a wound retractor and bipolar scissors without disposable endoscopic instruments in 58 patients with noninvasive or invasive breast cancer. Axillary lymph node dissection is also performed via small axillary incision using a wound retractor and bipolar scissors. Results Average surgical duration was 132 min in transareolar approach and 125 min in transaxillary approach. Average blood loss was 38 and 48 ml, respectively. Postoperatively, the margin of resected breast tissue was histologically confirmed to be negative in 56 of 58 patients (97%) patients. Postoperative appearance of conserved breast was excellent in many patients, unless a large volume of breast tissue was removed. Conclusion A wound retractor provides maximum exposure with minimum incision size, thereby allows performance of breast-conserving surgery via a small periareolar and/or axillary incision in patients with a nipple–areola complex that is mobile and not small. It can reduce operating time and blood loss when compared with endoscope-assisted partial mastectomy. Breast-conserving surgery (dpeaa)DE-He213 Axillary dissection (dpeaa)DE-He213 Wound retractor (dpeaa)DE-He213 Moving window (dpeaa)DE-He213 Inokuchi, Masashi aut Enthalten in Breast cancer Berlin : Springer, 1994 17(2009), 1 vom: 22. Apr. (DE-627)548636184 (DE-600)2394259-9 1880-4233 nnns volume:17 year:2009 number:1 day:22 month:04 https://dx.doi.org/10.1007/s12282-009-0104-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 17 2009 1 22 04
allfields_unstemmed	10.1007/s12282-009-0104-1 doi (DE-627)SPR024763454 (SPR)s12282-009-0104-1-e DE-627 ger DE-627 rakwb eng Noguchi, Masakuni verfasserin aut “Moving window” operation for breast-conserving surgery 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Japanese Breast Cancer Society 2009 Background Although endoscope-assisted surgery has been used for partial mastectomy to improve the cosmetic outcome, this procedure may be somewhat cumbersome, thereby increasing operating time and blood loss. Moreover, the use of expensive disposable endoscopic instruments is required. Methods We have performed partial mastectomy via a small periareolar incision (transareolar approach) and/or axillary incision (transaxillary approach) using a wound retractor and bipolar scissors without disposable endoscopic instruments in 58 patients with noninvasive or invasive breast cancer. Axillary lymph node dissection is also performed via small axillary incision using a wound retractor and bipolar scissors. Results Average surgical duration was 132 min in transareolar approach and 125 min in transaxillary approach. Average blood loss was 38 and 48 ml, respectively. Postoperatively, the margin of resected breast tissue was histologically confirmed to be negative in 56 of 58 patients (97%) patients. Postoperative appearance of conserved breast was excellent in many patients, unless a large volume of breast tissue was removed. Conclusion A wound retractor provides maximum exposure with minimum incision size, thereby allows performance of breast-conserving surgery via a small periareolar and/or axillary incision in patients with a nipple–areola complex that is mobile and not small. It can reduce operating time and blood loss when compared with endoscope-assisted partial mastectomy. Breast-conserving surgery (dpeaa)DE-He213 Axillary dissection (dpeaa)DE-He213 Wound retractor (dpeaa)DE-He213 Moving window (dpeaa)DE-He213 Inokuchi, Masashi aut Enthalten in Breast cancer Berlin : Springer, 1994 17(2009), 1 vom: 22. Apr. (DE-627)548636184 (DE-600)2394259-9 1880-4233 nnns volume:17 year:2009 number:1 day:22 month:04 https://dx.doi.org/10.1007/s12282-009-0104-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 17 2009 1 22 04
allfieldsGer	10.1007/s12282-009-0104-1 doi (DE-627)SPR024763454 (SPR)s12282-009-0104-1-e DE-627 ger DE-627 rakwb eng Noguchi, Masakuni verfasserin aut “Moving window” operation for breast-conserving surgery 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Japanese Breast Cancer Society 2009 Background Although endoscope-assisted surgery has been used for partial mastectomy to improve the cosmetic outcome, this procedure may be somewhat cumbersome, thereby increasing operating time and blood loss. Moreover, the use of expensive disposable endoscopic instruments is required. Methods We have performed partial mastectomy via a small periareolar incision (transareolar approach) and/or axillary incision (transaxillary approach) using a wound retractor and bipolar scissors without disposable endoscopic instruments in 58 patients with noninvasive or invasive breast cancer. Axillary lymph node dissection is also performed via small axillary incision using a wound retractor and bipolar scissors. Results Average surgical duration was 132 min in transareolar approach and 125 min in transaxillary approach. Average blood loss was 38 and 48 ml, respectively. Postoperatively, the margin of resected breast tissue was histologically confirmed to be negative in 56 of 58 patients (97%) patients. Postoperative appearance of conserved breast was excellent in many patients, unless a large volume of breast tissue was removed. Conclusion A wound retractor provides maximum exposure with minimum incision size, thereby allows performance of breast-conserving surgery via a small periareolar and/or axillary incision in patients with a nipple–areola complex that is mobile and not small. It can reduce operating time and blood loss when compared with endoscope-assisted partial mastectomy. Breast-conserving surgery (dpeaa)DE-He213 Axillary dissection (dpeaa)DE-He213 Wound retractor (dpeaa)DE-He213 Moving window (dpeaa)DE-He213 Inokuchi, Masashi aut Enthalten in Breast cancer Berlin : Springer, 1994 17(2009), 1 vom: 22. Apr. (DE-627)548636184 (DE-600)2394259-9 1880-4233 nnns volume:17 year:2009 number:1 day:22 month:04 https://dx.doi.org/10.1007/s12282-009-0104-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 17 2009 1 22 04
allfieldsSound	10.1007/s12282-009-0104-1 doi (DE-627)SPR024763454 (SPR)s12282-009-0104-1-e DE-627 ger DE-627 rakwb eng Noguchi, Masakuni verfasserin aut “Moving window” operation for breast-conserving surgery 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Japanese Breast Cancer Society 2009 Background Although endoscope-assisted surgery has been used for partial mastectomy to improve the cosmetic outcome, this procedure may be somewhat cumbersome, thereby increasing operating time and blood loss. Moreover, the use of expensive disposable endoscopic instruments is required. Methods We have performed partial mastectomy via a small periareolar incision (transareolar approach) and/or axillary incision (transaxillary approach) using a wound retractor and bipolar scissors without disposable endoscopic instruments in 58 patients with noninvasive or invasive breast cancer. Axillary lymph node dissection is also performed via small axillary incision using a wound retractor and bipolar scissors. Results Average surgical duration was 132 min in transareolar approach and 125 min in transaxillary approach. Average blood loss was 38 and 48 ml, respectively. Postoperatively, the margin of resected breast tissue was histologically confirmed to be negative in 56 of 58 patients (97%) patients. Postoperative appearance of conserved breast was excellent in many patients, unless a large volume of breast tissue was removed. Conclusion A wound retractor provides maximum exposure with minimum incision size, thereby allows performance of breast-conserving surgery via a small periareolar and/or axillary incision in patients with a nipple–areola complex that is mobile and not small. It can reduce operating time and blood loss when compared with endoscope-assisted partial mastectomy. Breast-conserving surgery (dpeaa)DE-He213 Axillary dissection (dpeaa)DE-He213 Wound retractor (dpeaa)DE-He213 Moving window (dpeaa)DE-He213 Inokuchi, Masashi aut Enthalten in Breast cancer Berlin : Springer, 1994 17(2009), 1 vom: 22. Apr. (DE-627)548636184 (DE-600)2394259-9 1880-4233 nnns volume:17 year:2009 number:1 day:22 month:04 https://dx.doi.org/10.1007/s12282-009-0104-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 17 2009 1 22 04
language	English
source	Enthalten in Breast cancer 17(2009), 1 vom: 22. Apr. volume:17 year:2009 number:1 day:22 month:04
sourceStr	Enthalten in Breast cancer 17(2009), 1 vom: 22. Apr. volume:17 year:2009 number:1 day:22 month:04
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Breast-conserving surgery Axillary dissection Wound retractor Moving window
isfreeaccess_bool	false
container_title	Breast cancer
authorswithroles_txt_mv	Noguchi, Masakuni @@aut@@ Inokuchi, Masashi @@aut@@
publishDateDaySort_date	2009-04-22T00:00:00Z
hierarchy_top_id	548636184
id	SPR024763454
language_de	englisch
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">SPR024763454</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230519183003.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">201007s2009 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1007/s12282-009-0104-1</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR024763454</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s12282-009-0104-1-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Noguchi, Masakuni</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">“Moving window” operation for breast-conserving surgery</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2009</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© The Japanese Breast Cancer Society 2009</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background Although endoscope-assisted surgery has been used for partial mastectomy to improve the cosmetic outcome, this procedure may be somewhat cumbersome, thereby increasing operating time and blood loss. Moreover, the use of expensive disposable endoscopic instruments is required. Methods We have performed partial mastectomy via a small periareolar incision (transareolar approach) and/or axillary incision (transaxillary approach) using a wound retractor and bipolar scissors without disposable endoscopic instruments in 58 patients with noninvasive or invasive breast cancer. Axillary lymph node dissection is also performed via small axillary incision using a wound retractor and bipolar scissors. Results Average surgical duration was 132 min in transareolar approach and 125 min in transaxillary approach. Average blood loss was 38 and 48 ml, respectively. Postoperatively, the margin of resected breast tissue was histologically confirmed to be negative in 56 of 58 patients (97%) patients. Postoperative appearance of conserved breast was excellent in many patients, unless a large volume of breast tissue was removed. Conclusion A wound retractor provides maximum exposure with minimum incision size, thereby allows performance of breast-conserving surgery via a small periareolar and/or axillary incision in patients with a nipple–areola complex that is mobile and not small. 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author	Noguchi, Masakuni
spellingShingle	Noguchi, Masakuni misc Breast-conserving surgery misc Axillary dissection misc Wound retractor misc Moving window “Moving window” operation for breast-conserving surgery
authorStr	Noguchi, Masakuni
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format	electronic Article
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issn	1880-4233
topic_title	“Moving window” operation for breast-conserving surgery Breast-conserving surgery (dpeaa)DE-He213 Axillary dissection (dpeaa)DE-He213 Wound retractor (dpeaa)DE-He213 Moving window (dpeaa)DE-He213
topic	misc Breast-conserving surgery misc Axillary dissection misc Wound retractor misc Moving window
topic_unstemmed	misc Breast-conserving surgery misc Axillary dissection misc Wound retractor misc Moving window
topic_browse	misc Breast-conserving surgery misc Axillary dissection misc Wound retractor misc Moving window
format_facet	Elektronische Aufsätze Aufsätze Elektronische Ressource
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hierarchy_parent_title	Breast cancer
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title	“Moving window” operation for breast-conserving surgery
ctrlnum	(DE-627)SPR024763454 (SPR)s12282-009-0104-1-e
title_full	“Moving window” operation for breast-conserving surgery
author_sort	Noguchi, Masakuni
journal	Breast cancer
journalStr	Breast cancer
lang_code	eng
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author_browse	Noguchi, Masakuni Inokuchi, Masashi
container_volume	17
format_se	Elektronische Aufsätze
author-letter	Noguchi, Masakuni
doi_str_mv	10.1007/s12282-009-0104-1
title_sort	“moving window” operation for breast-conserving surgery
title_auth	“Moving window” operation for breast-conserving surgery
abstract	Background Although endoscope-assisted surgery has been used for partial mastectomy to improve the cosmetic outcome, this procedure may be somewhat cumbersome, thereby increasing operating time and blood loss. Moreover, the use of expensive disposable endoscopic instruments is required. Methods We have performed partial mastectomy via a small periareolar incision (transareolar approach) and/or axillary incision (transaxillary approach) using a wound retractor and bipolar scissors without disposable endoscopic instruments in 58 patients with noninvasive or invasive breast cancer. Axillary lymph node dissection is also performed via small axillary incision using a wound retractor and bipolar scissors. Results Average surgical duration was 132 min in transareolar approach and 125 min in transaxillary approach. Average blood loss was 38 and 48 ml, respectively. Postoperatively, the margin of resected breast tissue was histologically confirmed to be negative in 56 of 58 patients (97%) patients. Postoperative appearance of conserved breast was excellent in many patients, unless a large volume of breast tissue was removed. Conclusion A wound retractor provides maximum exposure with minimum incision size, thereby allows performance of breast-conserving surgery via a small periareolar and/or axillary incision in patients with a nipple–areola complex that is mobile and not small. It can reduce operating time and blood loss when compared with endoscope-assisted partial mastectomy. © The Japanese Breast Cancer Society 2009
abstractGer	Background Although endoscope-assisted surgery has been used for partial mastectomy to improve the cosmetic outcome, this procedure may be somewhat cumbersome, thereby increasing operating time and blood loss. Moreover, the use of expensive disposable endoscopic instruments is required. Methods We have performed partial mastectomy via a small periareolar incision (transareolar approach) and/or axillary incision (transaxillary approach) using a wound retractor and bipolar scissors without disposable endoscopic instruments in 58 patients with noninvasive or invasive breast cancer. Axillary lymph node dissection is also performed via small axillary incision using a wound retractor and bipolar scissors. Results Average surgical duration was 132 min in transareolar approach and 125 min in transaxillary approach. Average blood loss was 38 and 48 ml, respectively. Postoperatively, the margin of resected breast tissue was histologically confirmed to be negative in 56 of 58 patients (97%) patients. Postoperative appearance of conserved breast was excellent in many patients, unless a large volume of breast tissue was removed. Conclusion A wound retractor provides maximum exposure with minimum incision size, thereby allows performance of breast-conserving surgery via a small periareolar and/or axillary incision in patients with a nipple–areola complex that is mobile and not small. It can reduce operating time and blood loss when compared with endoscope-assisted partial mastectomy. © The Japanese Breast Cancer Society 2009
abstract_unstemmed	Background Although endoscope-assisted surgery has been used for partial mastectomy to improve the cosmetic outcome, this procedure may be somewhat cumbersome, thereby increasing operating time and blood loss. Moreover, the use of expensive disposable endoscopic instruments is required. Methods We have performed partial mastectomy via a small periareolar incision (transareolar approach) and/or axillary incision (transaxillary approach) using a wound retractor and bipolar scissors without disposable endoscopic instruments in 58 patients with noninvasive or invasive breast cancer. Axillary lymph node dissection is also performed via small axillary incision using a wound retractor and bipolar scissors. Results Average surgical duration was 132 min in transareolar approach and 125 min in transaxillary approach. Average blood loss was 38 and 48 ml, respectively. Postoperatively, the margin of resected breast tissue was histologically confirmed to be negative in 56 of 58 patients (97%) patients. Postoperative appearance of conserved breast was excellent in many patients, unless a large volume of breast tissue was removed. Conclusion A wound retractor provides maximum exposure with minimum incision size, thereby allows performance of breast-conserving surgery via a small periareolar and/or axillary incision in patients with a nipple–areola complex that is mobile and not small. It can reduce operating time and blood loss when compared with endoscope-assisted partial mastectomy. © The Japanese Breast Cancer Society 2009
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container_issue	1
title_short	“Moving window” operation for breast-conserving surgery
url	https://dx.doi.org/10.1007/s12282-009-0104-1
remote_bool	true
author2	Inokuchi, Masashi
author2Str	Inokuchi, Masashi
ppnlink	548636184
mediatype_str_mv	c
isOA_txt	false
hochschulschrift_bool	false
doi_str	10.1007/s12282-009-0104-1
up_date	2024-07-04T02:18:00.196Z
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“Moving window” operation for breast-conserving surgery

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