Abstract:

Objective To discuss the clinical efficacy of minimally invasive circumcision， traditional open surgery， and combination surgery in the treatment of multiple breast tumors complicated with larger lesions， and to provide the clinical the basis for the treatment of the patients with multiple breast tumors. Methods A total of 167 patients with multiple breast tumors were divided into minimally invasive surgery group （n=83， treated with minimally invasive circumcision）， traditional surgery group （n=42， treated with traditional open surgery）， and combination surgery group （n=42， treated with minimally invasive circumcision and traditional open surgery）. The surgical time， intraoperative bleeding vomule， healing time of the incision， ratios of incision number to tumor number， and postoperative incidences of ecchymosis， infection， hematoma， obvious scar， and residual lesion，and the satisfaction rates of the patients in three groups were observed. Results Compared with traditional surgery group， the ages of the patients in minimally invasive surgery group and combination surgery group were younger （P<0.01）. Compared with traditional surgery group and minimally invasive surgery group，the surgical time of the patients in combination surgery group were significantly increased （P<0.01）；compared with traditional surgery group， the intraoperative bleeding vomule of the patients in combination surgery group was decreased （P<0.01）；compared with minimally invasive group， and the intraoperative bleeding vomule of the patients in combination surgery group was increased （P<0.01）.Compared with traditional surgery group and minimally invasive surgery group， the ratio of incision number to tumor number of the patients in combination surgery group were decreased significantly （P<0.01）； compared with minimally invasive surgery group，the wound healing time of the patients in combination surgery group was decreased significantly （P<0.01）. There were no statistically significant differences in the incidences of total postoperative complications， hematoma， ecchymosis， obvious scars， infection， and residual complications of the patients among three groups （P>0.05）. Compared with traditional surgery group， the psychological satisfaction rate of the patients in combination surgery group was increased （P<0.05）. Conclusion The minimally invasive breast circumcision combined with traditional open surgery have a good therapeutic effect in the treatment of the patients with multiple breast tumors complicated with large lesions，with fewer surgical incisions and high satisfaction rates；it is suitable for the promotion and application in the specific populations.

Key words: Multiple breast tumors, Minimally invasive surgery, Traditional open surgery, Postoperative complication