Minimal incision-assisted endoscopic versus conventional open breast-conserving surgery: A multicentre randomized clinical trial.
Mengxue Qiu, Hui Dai, Tao Zhu et al.
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In 30 seconds
This phase III multicentre randomized controlled trial compared minimal incision-assisted endoscopic breast-conserving surgery (M-E-BCS) with conventional open breast-conserving surgery (C-O-BCS) in early-stage breast cancer patients. M-E-BCS resulted in significantly higher SCAR-Q scores (79.9 vs. 61.4, P < 0.001) at 18 months, indicating better aesthetic outcomes and quality of life.
Key findings
- M-E-BCS achieved a SCAR-Q score of 79.9 ± 9.5 compared to 61.4 ± 17.4 for C-O-BCS (P < 0.001).
- Patients reported greater improvement in BREAST-Q breast satisfaction with M-E-BCS (17.7 ± 18.2 vs. 5.4 ± 21.5, P < 0.001).
- The physician assessment showed an 'excellent' rate of 86.5% for M-E-BCS versus 57.9% for C-O-BCS.
Why it matters
The findings suggest that M-E-BCS offers superior aesthetic and quality of life outcomes for patients undergoing breast-conserving surgery, which may influence surgical decision-making and patient satisfaction.