Controversies and future directions of endoscope in breast surgery

doi:10.16139/j.1007-9610.2024.05.01

Abstract

Abstract:

Laparoscopic surgery has been widely applied in various surgical fields, demonstrating its advantages in minimally invasive procedures. However, for breast surgery, which lacks natural cavities, there remain certain controversies and unresolved issues. This review summarized the background, development, challenges, and solutions regarding the endoscope in breast surgery, and discussed the theoretical and practical basis for its application. Endoscope will become a new iterative tool in the field of breast surgery and is expected to provide a safer and minimally invasive way to serve more patients.

Key words: Endoscope, Breast surgery, Breast reconstruction

CLC Number:

CAO Xuchen. Controversies and future directions of endoscope in breast surgery[J]. Journal of Surgery Concepts & Practice, 2024, 29(05): 371-375.

References 44

[1]	MEARA J G, LEATHER A J, HAGANDER L, et al. Global surgery 2030: evidence and solutions for achieving health, welfare, and economic development[J]. Surgery, 2015, 158(1):3-6.
[2]	KAISER A M, CORMAN M L. History of laparoscopy[J]. Surg Oncol Clin N Am, 2001, 10(3):483-492. pmid: 11685923
[3]	HATZINGER M, KWON S T, LANGBEIN S, et al. Hans Christian Jacobaeus:inventor of human laparoscopy and thoracoscopy[J]. J Endourol, 2006, 20(11):848-850.
[4]	LITYNSKI GS. Endoscopic surgery: the history, the pioneers[J]. World J Surg, 1999, 23(8):745-753. pmid: 10415199
[5]	HASSON H M. Laparoscopic management of ovarian cysts[J]. J Reprod Med, 1990, 35(9):863-867. pmid: 2146388
[6]	MOURET P. [Celioscopic surgery. evolution or revolution?][J]. Chirurgie, 1990, 116(10):829-832; discussion832-823.
[7]	KERBL D C, MCDOUGALL E M, CLAYMAN R V, et al. A history and evolution of laparoscopic nephrectomy:perspectives from the past and future directions in the surgical management of renal tumors[J]. J Urol, 2011, 185(3):1150-1154.
[8]	HASHMONAI M, CAMERON A E, LICHT P B, et al. Thoracic sympathectomy:a review of current indications[J]. Surg Endosc, 2016, 30(4):1255-1269.
[9]	骆成玉, 薛镭, 林华, 等. 乳腔镜微小隐蔽切口切除乳腺良性肿块的临床观察[J]. 中华医学杂志, 2003, 83(14):1233-1235.
	LUO C Y, XUE L, LIN H, et al. Mastoscopic extirpation of benign breast masses by small and concealing incision[J]. Natl Med J China, 2003, 83(14):1233-1235.
[10]	骆成玉, 张键, 林华, 等. 电视乳腔镜乳腺癌腋窝淋巴结清扫86例临床分析[J]. 中华医学杂志, 2003, 83(22):1946-1948.
	LUO C Y, ZHANG J, LIN H, et al. Mastoscopic axillary lymph node dissection for the patients with breast cancer[J]. Natl Med J China, 2003, 83(22):1946-1948.
[11]	姜军, 杨新华, 范林军, 等. 腔镜手术在乳腺疾病外科治疗中的应用[J]. 中华医学杂志, 2005, 85(3):181-183.
	JIANG J, YANG X H, FAN L J, et al. Application of endoscope-assistant surgery in the treatment of breast diseases[J]. Natl Med J China, 2005, 85(3):181-183.
[12]	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[J]. 中国实用外科杂志, 2018, 38(11):1245-1248. doi: 10.19538/j.cjps.issn1005-2208.2018.11.07
	QU X, WANG Z H, WANG J F, et al. Application and prospect of laparoscopic surgery in breast cancer surgery[J]. Chin J Pract Surg, 2018, 38(11):1245-1248.
[13]	王子函, 滕长胜, 葛智成, 等. 全腔镜乳房皮下腺体切除术加腔镜前哨淋巴结活检术治疗乳腺癌的临床应用[J]. 临床和实验医学杂志, 2015(15):1297-1300,1301.
	WANG Z H, TENG C Z, GE Z C, et al. Combination of endoscopic subcutaneous mastectomy and endoscopic sentinel lymph node biopsy in breast cancer[J]. J Clin Exp Med, 2015(15):1297-1300,1301.
[14]	吕青. 置身事内:华西乳腺(癌)腔镜手术的开创与发展创新[J]. 中国普外基础与临床杂志, 2022, 29(11):1405-1414.
	LÜ Q. The initiation and innovative development of the endoscopic breast cancer surgery in West China Hospital[J]. Chin J Bases Clin Gen Surg, 2022, 29(11):1405-1414.
[15]	KONINCKX P R, USSIA A, WATTIEZ A, et al. Chapter-23 Laparoscopic management and prevention of pelvic adhesions and postoperative pain[EB/OL]. [2024-08-30].
[16]	吴淞, 章佳新. 乳腺腔镜手术操作空间建立的进展分析[J]. 中国继续医学教育, 2020, 12(12):114-116.
	WU S, ZHANG J X. Analysis of the progress in establishing operating space for laparoscopic mammary surgery[J]. China Contin Med Educ, 2020, 12(12):114-116.
[17]	陈海军. 乳腺腔镜手术操作空间建立的研究进展[J]. 腹腔镜外科杂志, 2017, 22(9):709-712.
	CHEN H J. Advances in the establishment of operating space for breast lumpectomy surgery[J]. J Laparosc Surg, 2017, 22(9):709-712.
[18]	SHIMAZU K, SHIBA E, TAMAKI Y, et al. Endoscopic thyroid surgery through the axillo-bilateral-breast approach[J]. Surg Laparosc Endosc Percutan Tech, 2003, 13(3):196-201. doi: 10.1097/00129689-200306000-00011 pmid: 12819505
[19]	HÜSCHER C S, CHIODINI S, NAPOLITANO C, et al. Endoscopic right thyroid lobectomy[J]. Surg Endosc, 1997, 11(8):877. doi: 10.1007/s004649900476 pmid: 9266657
[20]	MICCOLI P, BERTI P, CONTE M, et al. Minimally invasive surgery for thyroid small nodules:preliminary report[J]. J Endocrinol Invest, 1999, 22(11):849-851.
[21]	CONG R, LI X, OUYANG H, et al. Gasless,endoscopic trans-axillary thyroid surgery:our series of the first 51 human cases[J]. World J Surg Oncol, 2022, 20(1):9.
[22]	陈孝磊, 李超, 周雨秋, 等. 经腋无充气腔镜与传统颈部开放手术治疗PTC的疗效分析[J]. 中华耳鼻咽喉头颈外科杂志, 2023, 58(4):351-357.
	CHEN X L, LI C, ZHOU Y C, et al. A comparative study for the efficacies of transaxillary non-inflatable endoscopic surgery versus traditional surgery for papillary thyroid carcinoma[J]. Chin J Otorhinolaryngol Head Neck Surg, 2023, 58(4):351-357.
[23]	DING Y, QIU C, ZHU C, et al. Comparison of gasless transaxillary endoscopic thyroidectomy, endoscopic thyroidectomy via areola approach and conventional open thyroidectomy in patients with unilateral papillary thyroid carcinoma[J]. World J Surg Oncol, 2024, 22(1):148.
[24]	CHEN Z Q, WANG C C, LI J Y. Application of extended trocars in endoscopic thyroidectomy[J]. J Laparosc Surg, 2013, 18(4):35-38.
[25]	KOMPATSCHER P. Endoscopic capsulotomy of capsular contracture after breast augmentation:a very challenging therapeutic approach[J]. Plast Reconstr Surg, 1992, 90(6):1125-1126.
[26]	FRIEDLANDER L, SUNDIN J. Minimally invasive harvesting of the latissimus dorsi[J]. Plast Reconstr Surg, 1994, 94(6):881-884. doi: 10.1097/00006534-199411000-00024 pmid: 7972440
[27]	LUO C, GUO W, YANG J, et al. Comparison of mastoscopic and conventional axillary lymph node dissection in breast cancer:long-term results from a randomized, multicenter trial[J]. Mayo Clin Proc, 2012, 87(12):1153-1161.
[28]	MALUR S, BECHLER J, SCHNEIDER A. Endoscopic axillary lymphadenectomy without prior liposuction in 100 patients with invasive breast cancer[J]. Surg Laparosc Endosc Percutan Tech, 2001, 11(1):38-41;discussion 42. pmid: 11269554
[29]	LAI H W, LIN S L, CHEN S T, et al. Single-axillary-incision endoscopic-assisted hybrid technique for nipple-sparing mastectomy:technique, preliminary results, and patient-reported cosmetic outcome from preliminary 50 procedures[J]. Ann Surg Oncol, 2018, 25(5):1340-1349.
[30]	LEE H Y, CHANG Y W, YU D Y, et al. Comparison of single incision endoscopic nipple-sparing mastectomy and conventional nipple-sparing mastectomy for breast cancer based on initial experience[J]. J Breast Cancer, 2021, 24(2):196-205. doi: 10.4048/jbc.2021.24.e18 pmid: 33913275
[31]	MLEES M A, EL-SHERPINY W Y, MOUSSA H R. Transaxillary endoscopic excision of benign breast tumors, early institution experience[J]. Breast J, 2020, 26(4):672-678.
[32]	张春. 腔镜手术治疗良性乳腺疾病技术要点[J]. 中国实用外科杂志, 2020, 40(10):1135-1138. doi: 10.19538/j.cjps.issn1005-2208.2020.10.05
	ZHANG C. Key points endoscopic surgery for benign breast diseases[J]. Chin J Pract Surg, 2020, 40(10):1135-1138.
[33]	郭美琴, 姜军, 杨新华, 等. 吸脂法腔镜腋窝淋巴结清除术野脱落细胞学研究[J]. 中华肿瘤防治杂志, 2009, 16(9):710-712.
	GUO M W, JIANG J, YANG X H, et al. Cytological study on exfoliated cells in operation field by E-ALND[J]. Chin J Cancer Prev Treat, 2009, 16(9):710-712.
[34]	郭美琴, 姜军, 范林军, 等. 腔镜腋窝淋巴结清扫术与传统腋窝清扫术前后外周血潜伏肿瘤细胞的对比研究[J]. 中华乳腺病杂志(电子版), 2007, 1(3):36-39.
	GUO M Q, JIANG J, FAN L J, et al. Comparative study of preoperative and postoperative occult tumor cells in peripheral blood of breast cancer patients undergoing E-ALND and ALND[J]. Chin J Breast Dis(Electronic Edition), 2007, 1(3):36-39.
[35]	姜军. 乳腺疾病腔镜治疗[M]. 北京: 人民卫生出版社, 2012.
	JINAG J. Lumpectomy for breast diseases[M]. Beijing: The People's Health Press Co., Ltd, 2012.
[36]	LAI H W, MOK C W, CHANG Y T, et al. Endoscopic assisted breast conserving surgery for breast cancer:clinical outcome, learning curve, and patient reported aesthetic results from preliminary 100 procedures[J]. Eur J Surg Oncol, 2020, 46(8):1446-1455.
[37]	LAI H W, CHEN S T, LIAO C Y, et al. Oncologic outcome of endoscopic assisted breast surgery compared with conventional approach in breast cancer:an analysis of 3426 primary operable breast cancer patients from single institute with and without propensity score matching[J]. Ann Surg Oncol, 2021, 28(12):7368-7380.
[38]	ZHANG S, XIE Y, LIANG F, et al. Video-assisted transaxillary nipple-sparing mastectomy and immediate implant-based breast reconstruction:a novel and promising method[J]. Aesthetic Plast Surg, 2022, 46(1):91-98.
[39]	覃湘泉, 王甜甜, 谢妍妍, 等. 腋窝入路腔镜下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[J]. 中国胸心血管外科临床杂志, 2021, 28(9):1029-1036.
	QIN X Q, WANG T T, XIE Y Y, et al. An innovative exploration of endoscopic nipple-sparing mastectomy combined with immediate pre-pectoral implant-based breast reconstruction with TiLOOP^® Bra via single axillary incision for breast cancer patients[J]. Chin J Clin Thorac Cardiovasc Surg, 2021, 28(9):1029-1036.
[40]	周娇, 梁法清, 谢妍妍, 等. 华西医院日间腔镜乳腺皮下切除联合一期假体重建的临床路径简介[J]. 中国胸心血管外科临床杂志, 2021, 28(12):1393-1399.
	ZHOU J, LIANG F Q, XIE Y Y, et al. 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[J]. Chin J Clin Thorac Cardiovasc Surg, 2021, 28(12):1393-1399.
[41]	张晔, 钟玲, 刘静, 等. 腔镜与开放的保留乳头乳晕乳腺癌根治切除加一期假体植入乳房重建的对比研究[J]. 中华外科杂志, 2019, 57(10):770-775.
	ZHANG Y, ZHONG L, LIU J, et al. The comparative study of endoscope versus open surgery on nipple sparing mastectomy with immediate reconstruction using prosthesis implantation[J]. Chin J Surg, 2019, 57(10):770-775.
[42]	DU J, LIANG Q, QI X, et al. Endoscopic nipple sparing mastectomy with immediate implant-based reconstruction versus breast conserving surgery:a long-term study[J]. Sci Rep, 2017,7:45636.
[43]	COLWELL A S. Direct-to-implant breast reconstruction[J]. Gland Surg, 2012, 1(3):139-141. doi: 10.3978/j.issn.2227-684X.2012.10.04 pmid: 25083436
[44]	THILL M, VAN HAASTEREN V, KELLING K. Abstract P6-14-06:prepectoral direct to implant reconstruction following nipple sparing mastectomy using the TiLOOP^® bra pocket[J]. Cancer Res, 2020, 80(4_Supple):6-14.