Horizontal Rotary Cutting Technique for Skin Injury Avoidance in Superficial Benign Breast Masses

Abstract

Ren-Feng Song,1,* Yu-Xia Jiang,2,* Jian-Chun Cui,3 Xue-Wei Yu,1 Yang Gao,3 Li Li,3 Xiao-Hua Pei4 1Department of General Surgery, The First People’s Hospital of Huangzhong District, Xining, 811600, People’s Republic of China; 2Department of Thyroid and Breast Surgery, The Chinese Medicine Hospital of Shexian, Handan, 056400, People’s Republic of China; 3Department of Thyroid and Breast Surgery, People’s Hospital of China Medical University (Liaoning Provincial People’s Hospital), Shenyang, 110015, People’s Republic of China; 4Department of General Surgery, Xiamen Hospital of Beijing University of Traditional Chinese Medicine, Xiamen, 361001, People’s Republic of China*These authors contributed equally to this workCorrespondence: Jian-Chun CuiDepartment of Thyroid and Breast Surgery, People’s Hospital of China Medical University (Liaoning Provincial People’s Hospital), No. 33 of Wenyi Street, Shenhe District, Shenyang, 110015, People’s Republic of ChinaTel/Fax [phone]Email [email protected] PeiDepartment of Surgery, Xiamen Hospital of Beijing University of Traditional Chinese Medicine, No. 1739 of Xianyue Street, Huli District, Xiamen, 361001, People’s Republic of ChinaTel/Fax [phone]Email [email protected]: This study aims to investigate the feasibility of the horizontal rotary-cut technique in the removal of superficial benign breast tumors with a ≤ 1.0 cm distance between the upper margin of the tumor and the skin.Patients and Methods: A total of 69 patients with superficial benign breast tumors received horizontal rotary-cut surgery between July 2018 and June 2019 (horizontal group). The rotary cutter groove was in the true lateral position of the tumor and the ultrasonic probe was vertical to the rotary cutter groove. The patients were compared with 33 patients who underwent the traditional vertical rotary-cut surgery between July 2017 and June 2018 (traditional group) regarding the aspects of operation time, intraoperative bleeding volume, postoperative skin ecchymosis, skin damage, and tumor residue. The rotary cutter groove was directly below the tumor and the ultrasonic probe was parallel to the rotary cutter groove in the traditional vertical rotary-cut surgery.Results: The operation time in the horizontal group was significantly shorter than in the traditional group (7.7 ± 1.1 minutes vs 9.5 ± 1.3 minutes, with t = − 7.458 and p = 0.000) and there was significantly less skin damage in the horizontal group than in the traditional group (0 cases vs 3 cases, with p = 0.032). The differences in intraoperative bleeding and postoperative skin ecchymosis between the two groups were not statistically significant (6.0 ± 1.3 mL vs 6.5 ± 1.5 mL, with t = − 1.853 and p = 0.067; 4 cases vs 2 cases, with χ2 = 0.003 and p = 0.958). Ninety-seven patients attended follow-ups for 6– 30 (16.5 ± 4.5) months. No residues or recurrences were observed under ultrasound reviews in either group.Conclusion: In superficial benign breast tumor removal, the horizontal rotary-cut breast technique can help avoid skin injury, shorten the operation time, and reduce tumor residue more effectively compared with the traditional vertical rotary-cut technique. It has certain popularization and application values.Keywords: three-dimensional stereotaxis, horizontal, rotary-cut/rotary cutting, superficial, breast tumors/masses

Keywords

• three-dimensional stereotaxis
• horizontal
• rotary-cut/rotary cutting
• superficial
• breast tumors/masses