Single-Incision Approach for Breast-Conserving Surgery: Effectiveness, Complications and Quality of Life

Vertical Axillary Incision for Treatment of Breast Outer Quadrants Tumors

“…In this study, most lumps (77.8%) located at UOQ of breast in agreement with Haytham et al (7) who investigated the lateral mammary sulcus incision as an oncoplastic approach for laterally located breast cancer the study reported that (83.6%) of cases had their tumors located in the upper outer quadrant. Also, Acea-Nebril et al (13) reported that UOQ tumor was the most frequent site for breast cancer (58.41%).…”

Single incision for oncologic breast conserving surgery and sentinel node biopsy- another de-escalation strategy in breast surgery?

“…Success rates varied between 90-100 % for SLN retrieval along with comparable complication and re-op-eration rates, but yet, with a tendency to a more frequent formation of seroma in the single incision cohort in one study [6]. Moreover, Acea-Nebril et al described an improved quality of life and satisfaction using the Breast-Q TM questionnaire along with a lower incidence of axillary neuralgia, less surgical time, and smaller resected tumor volume [6]. Up to this point, patient-reported outcomes and randomized controlled trials (RCT) comparing single-incision vs. two independent incisions are lacking.…”

“…Recently, minimal access breast surgery (MABS) using a single incision for lumpectomy and SLN retrieval has been promoted by several authors, hereby using a lateral, radial, periareolar, inframammary, and semi-circular incision [5][6][7][8][9]. For access to the axilla, a prepectoral dissection to the lateral edge of the pectoralis major muscle is performed, hereby, entering the clavipectoral fascia for SLN retrieval.…”

“…Several authors performed lumpectomy with local remodeling (level I OPS according to Clough's classification [10]) using the lateral, axillary, inframammary, or periareolar approach. Acea-Nebril and colleagues performed level II OPS, namely reduction mammoplasty (wise pattern), horizontal mammoplasty (batwing) and the round block technique ("Donut" or Binelli) with the intent to minimize local complications as axillary neuralgia and lymphoedema [6]. Success rates varied between 90-100 % for SLN retrieval along with comparable complication and re-op-eration rates, but yet, with a tendency to a more frequent formation of seroma in the single incision cohort in one study [6].…”

“…Acea-Nebril and colleagues performed level II OPS, namely reduction mammoplasty (wise pattern), horizontal mammoplasty (batwing) and the round block technique ("Donut" or Binelli) with the intent to minimize local complications as axillary neuralgia and lymphoedema [6]. Success rates varied between 90-100 % for SLN retrieval along with comparable complication and re-op-eration rates, but yet, with a tendency to a more frequent formation of seroma in the single incision cohort in one study [6]. Moreover, Acea-Nebril et al described an improved quality of life and satisfaction using the Breast-Q TM questionnaire along with a lower incidence of axillary neuralgia, less surgical time, and smaller resected tumor volume [6].…”