The surgery approaches of mamotome operation:clinical analysis and anatomic basis

Objective To explore effects of different surgical approaches of mammotome operation on reducing postoperative complications.Methods 30 female patients with nursing needs received the radial approach based on proximity principle.11 cases without nursing needs received the horizontal approach based on proximity and beauty principles.We recorded bleeding during the operation,skin ecchymosis and breast hematoma within 72 hours after mamomtome operation.At postoperative Day 6,Breast skin sensation was detected in all cases.Postoperative mammary gland secretion was observed in 5 cases.Results The radial approach can effectively reduce the injury to mammary gland and keep postoperative lactation function.However,horizontal approach was more effective to protect blood vessels and nerves of the breast.Conclusions The operative complications could be effectively limited by selecting special mammotome approach,however,further focus is necessary to treat tumor nearing to mammary areola.