Introduction
In 2020, breast cancer replaced lung cancer as the most common cancer in
the world, severely affecting women’s health [1].
With the advancement of comprehensive treatment, breast cancer patients
have longer survival periods, and the demand for beauty is increasing.
More and more patients wish to preserve their breast appearance. In
addition, breast resection not only causes physical defects and loss of
female image, but also leads to postoperative anxiety and depression[2]. This crisis of confidence may lead to sexual
dysfunction, as well as damage to marriage and interpersonal
relationships [3]. Therefore, the surgical
approach has undergone significant changes. Currently, the surgical
approach has changed from the original radical cure by enlargement or
improvement to breast cancer radical resection with breast
reconstruction while preserving the nipple-areolar complex.
Breast-conserving surgery is also a good choice for such patients, but
it is not suitable for patients with tumors/breast volumes that are
relatively high, with multiple or multiple suspicious cancer lesions or
microcalcifications [4]. In addition, most Chinese
women have small breast sizes, and most patients have poor symmetry
after breast-conserving surgery. Furthermore, postoperative radiotherapy
is usually required after breast-conserving surgery. Therefore, most
patients currently prefer breast reconstruction surgery. Breast
reconstruction surgery for stage I or II breast cancer has emerged as a
result. Traditional reconstruction surgery often involves incisions on
the surface of the breast, resulting in obvious scarring after surgery.
Hoehler [5] first described breast augmentation
through the axillary approach in 1973. In recent years, with the
development of endoscopic technology, breast cancer radical resection
with implant-based reconstruction while preserving the nipple-areolar
complex under endoscopic guidance has gradually been mastered by
domestic and foreign scholars and has become one of the best choices for
early breast cancer patients. The author has improved the current
single-port axillary endoscopic breast cancer radical resection and
implant patch coverage technique based on previous domestic and foreign
surgical methods, achieving good results.