유방보존술 후 흡수성 메쉬 삽입에 대한 결과와 환자의 만족도

권의영; 양유성; 최은혜; 한규담; 박영삼; 김철승

doi:10.14449/jbd.2017.5.2.46

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자료유형: 학술저널

저자정보: 권의영 (전주예수병원 외과 Department of Surgery Presbyterian Medical Center Jeonju Korea) 양유성 (전주예수병원 외과 Department of Surgery Presbyterian Medical Center Jeonju Korea) 최은혜 (전주예수병원 외과 Department of Surgery Presbyterian Medical Center Jeonju Korea) 한규담 (전주예수병원 외과 Department of Surgery Presbyterian Medical Center Jeonju Korea) 박영삼 (전주예수병원 외과 Department of Surgery Presbyterian Medical Center Jeonju Korea) 김철승 (전주예수병원 외과 Department of Surgery Presbyterian Medical Center Jeonju Korea)

저널정보: 한국유방암학회 Journal of Breast Disease Journal of Breast Disease 제5권 제2호

발행연도: 2017.12

수록면: 46 - 50 (5page)

DOI: 10.14449/jbd.2017.5.2.46

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Purpose: Breast-conserving surgery (BCS) is a standard treatment for breast cancer. Occasionally, patients may be dissatisfied with the breast shape due to deformity after BCS. To ensure satisfactory cosmetic results, a procedure with absorbable mesh after BCS was introduced in 2005. The purpose of this study was to identify the safety and effectiveness of this procedure. Methods: From November 2013 to December 2015, patients who underwent BCS for a malignant breast mass at Jeonju Presbyterian Medical Center were reviewed, and 63 patients were included in this study. Based on data collected from medical records and telephone interviews, the subjects were divided into two groups as follows and retrospectively compared and analyzed: BCS with absorbable mesh (n=31) and BCS without absorbable mesh (n=32). Patient data included age, body mass index, underlying disease, tumor location and size, specimen size, operative time, axillary dissection based on frozen biopsy results, postoperative wound infection, postoperative radiotherapy, adjuvant chemotherapy, and follow-up period. To compare patient satisfaction between the two groups, a brief questionnaire consisting of four items was administered. Results: Infection occurred in six patients (19.4%) in the absorbable mesh group and one (3.1%) in the BCS only group; however, the difference was not significant (p=0.053). Overall satisfaction, postoperative pain and postoperative motion limitation between the two groups were also not statistically significantly different. However, patients who underwent BCS with absorbable mesh insertion were better satisfied with the breast shape than those who underwent BCS without mesh from 1 year after operation (p=0.011). Conclusion: BCS with absorbable mesh is a simple and easy method to improve patient satisfaction for breast shape.

#Breast neoplasms #Patient satisfaction #Polyglactin 910

참고문헌 (5)

참고문헌 신청

이재훈 / 2009 / 조기 유방암의 치료에 있어 내시경 하 유방 보존술 후 재건을 위한 Polyglactin 910 Mesh를 이용한 새로운 방법에 대한 초기 결과 / Journal of Breast Cancer 12(3):193~198

엄태익 / 2009 / The Use of a Corrective Procedure with Vicryl Mesh for Oncoplastic Surgery of the Breast / Journal of Breast Cancer 12(1):36~40

김구상 / 2009 / ‘유방수술에 있어서 외과용 메시 사용현황’ 에대한 국내 설문조사 결과 / Journal of Breast Cancer 12(3):210~214

Min Young Koo / 2011 / Results from Over One Year of Follow-Up for Absorbable Mesh Insertion in Partial Mastectomy / Yonsei Medical Journal 52(5):803~808

Jin Seong Cho / 2011 / Analysis of Infections Occurring in Breast Cancer Patients after Breast Conserving Surgery Using Mesh / Journal of Breast Cancer 14(4):328~332

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