{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T13:40:12Z","timestamp":1768830012777,"version":"3.49.0"},"reference-count":31,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2010,5,11]],"date-time":"2010-05-11T00:00:00Z","timestamp":1273536000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2010,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Skin\u2010sparing partial mastectomy (SSPM) has yet to be investigated as a breast\u2010conserving therapy for early\u2010stage breast cancer. We report the clinical outcomes for video\u2010assisted SSPM (VA\u2010SSPM) with immediate breast reconstruction using autogenous tissue.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>VA\u2010SSPM is indicated for early\u2010stage breast cancer arising in the upper\u2010outer or lower\u2010outer quadrant without skin involvement. An incision is placed along the midaxillary line, and SSPM is performed under endoscopic guidance using subcutaneous tunneling and lifting methods. Through the same incision, a latissimus dorsi muscle flap is harvested for breast reconstruction. From January 2000 to October 2007, 168 patients (Tis, <jats:italic>n<\/jats:italic> = 24; T1, <jats:italic>n<\/jats:italic> = 37; T2, <jats:italic>n<\/jats:italic> = 107) underwent VA\u2010SSPM, and morbidity, curability, and postoperative patient satisfaction were investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Postoperative complications included skin necrosis (2.4%, <jats:italic>n<\/jats:italic> = 4) and muscle flap necrosis (0.6%, <jats:italic>n<\/jats:italic> = 1), but no severe complications were observed. After a mean follow\u2010up of 58.6\u00a0months, eight patients (4.8%) experienced local recurrence. Sixty\u2010month distant metastasis\u2010free survival rates for Tis, T1, and T2 were 100%, 97%, and 83.3%, respectively, with an overall rate of 88.4%. Furthermore, overall survival rates for Tis, T1, and T2 were 100%, 94.1%, and 94.4%, respectively, with an overall survival rate of 95% for all patients. A patient satisfaction survey showed that 81.6% of patients evaluated the surgery as \u201cgood.\u201d<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>VA\u2010SSPM for early\u2010stage breast cancer improves cosmetic results and achieves high patient satisfaction without increasing local or distant organ recurrence. This method offers a useful local therapy for early\u2010stage breast cancer.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-010-0607-0","type":"journal-article","created":{"date-parts":[[2010,5,10]],"date-time":"2010-05-10T18:11:11Z","timestamp":1273515071000},"page":"2197-2203","source":"Crossref","is-referenced-by-count":26,"title":["Clinical Outcomes of Video\u2010Assisted Skin\u2010Sparing Partial Mastectomy for Breast Cancer and Immediate Reconstruction with Latissimus Dorsi Muscle Flap as Breast\u2010Conserving Therapy"],"prefix":"10.1002","volume":"34","author":[{"given":"Hiroo","family":"Nakajima","sequence":"first","affiliation":[{"name":"Department of Endocrine, Breast Surgery Kyoto Prefectural University of Medicine 465 Kajii\u2010cho, Kawaramachi\u2010Hirokoji, Kamikyo\u2010ku 602\u20108566 Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ikuya","family":"Fujiwara","sequence":"additional","affiliation":[{"name":"Department of Endocrine, Breast 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