Endoscopic Video-assisted Excision Combined with Mammotome for Major Benign Breast Lesions

Background: It was difficult to excise major benign breast lesions more than 3 cm employing either Mammotome or Endoscopic respectively .   Methods ： From October, 2005 and October, 2008, 10 patients with major benign breast lesions underwent endoscopic, video-assisted breast excision combined with Mammotome in our institution. Cosmetic results were evaluated using the ABNSW scoring system. Results: The incision size was 1 to 1.8cm. The operation time ranged from 30 to 55 minutes with a median of 41 minutes of all patients, from 38 to 55 minutes with a median of 45 minutes of 6 patients with rigid mass and from 30 to 36 minutes with a median of 30 minutes of 4 patients with flexible mass. The median total ABNSW score was 14.1 points, median intraoperative bleeding was 17 ml, and median cost was 7825 ￥ . No clinically important complication was encountered, and all patients were extremely satisfied with the cosmetic results of the procedure. Conclusion: Video-assisted endoscopic resection combined with Mammotome is a safe, effective technique to treat major benign breast tumors, and provides esthetic advantages.