Comparative analysis between circumareolar small incision and three-port endoscopic surgery for the treatment of Simon Ⅱ gynecomastia

Abstract

Abstract:

ObjectiveTo compare the clinical efficacy between liposuction combined with circumareolar small incision and three-port endoscopic surgery for the treatment of Simon Ⅱ gynecomastia (GYN).MethodsComparative case data of 120 patients with GYN were retrospectively analyzed, 61 patients in the open group underwent circumareolar small incision mastectomy after liposuction, and 59 patients in the endoscopic group underwent three-port endoscopic mastectomy after liposuction. The two groups were compared in terms of surgery-related indexes, occurrence of postoperative complications and patient satisfaction.ResultsThe unilateral operation time of the open group was shorter than that of the endoscopic group, the unilateral gland resection weight in the open group was more than that in the endoscopic group, the hospitalization cost of the open group was less than that of the endoscopic group (allP<0.01). There was no significant difference in unilateral liposuction volume, drainage volume on the first postoperative day, and time to drain removal between the two groups (P>0.05). The incidence of complications in the open group and the endoscopic group were 8.2% and 13.6% respectively, and there was no significant difference between the two groups (P>0.05). The difference in the overall satisfaction scores between the two groups was not statistically significant (P>0.05).ConclusionsLiposuction combined with circumareolar small incision or three-port endoscopic surgery both has good cosmetic effects in the treatment of Simon Ⅱ GYN. The operation with circumareolar small incision is simple, has a shorter operation time, costs less, and does not require special equipment, which is suitable for promotion and application in medical institutions.

Key words:Gynecomastia (GYN),Mastectomy,Breast endoscopic surgery,Circumareolar small incision,Liposuction

CLC Number:

R655.8

LIU Hui, LIU Sixuan, HU Junyan, ZHENG Jie, JIANG Shujun, WANG Feng, GONG Hangjun, JI Yajie, WANG Jiandong. Comparative analysis between circumareolar small incision and three-port endoscopic surgery for the treatment of Simon Ⅱ gynecomastia[J]. Journal of Surgery Concepts & Practice, 2025, 30(04): 310-315.

Figures/Tables5

Item	Open group (n=61)	Laparoscopic group (n=59)	t/χ² value	P value
Age (year)	26.9±8.5	25.5±9.5	0.883	0.379
BMI(kg/m²)	25.8±4.1	25.6±3.8	0.292	0.771
Duration of disease (year)	8.1±7.2	7.7±6.9	0.279	0.781
Breast diameter (cm)	13.3±1.6	12.9±1.6	1.163	0.247
Simon grading	ⅡA	17（27.9）	16（27.1）	0.013	0.911
ⅡB	44（72.1）	43（72.9）

Tab 1

Item	Open group(n=61)	Laparoscopicgroup (n=59)	tvalue	Pvalue
Unilateral operation time (min)	106.5±14.3	180.0±25.4	19.600	<0.000 1
Unilateral liposuction volume (mL)	239.7±51.1	243.6±49.9	0.426	0.671
Unilateral gland resection weight (g)	57.9±10.5	50.4±9.1	4.168	0.000 1
Drainage volume on the first postoperative day (mL)	40.6±9.4	39.9±10.1	0.410	0.682
Time to drain removal (d)	5.1±1.4	5.2±1.3	0.370	0.712
Hospitalization costs (yuan)	12 349±606.3	14 413±547.6	19.551	<0.000 1

Tab 2

Item	Open group (n=61)	Laparoscopic group (n=59)	tvalue	Pvalue
Breast symmetry	2.87±0.33	2.94±0.39	1.063	0.290
Nipple/areola shape	2.77±0.26	2.91±0.30	2.735	0.007
Thoracic smoothness	2.58±0.27	2.54±0.39	0.655	0.518
Surgical scar	2.65±0.41	2.74±0.50	1.080	0.283
Numbness in chest wall	2.23±0.22	2.14±0.19	2.395	0.018
Overall satisfaction score	13.13±0.39	13.10±0.41	0.411	0.682

Tab 3

Fig 1

Fig 2

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