Health Affairs ISSN – 0278-2715 Volume 11 CURRENT ISSUE page 1173-1181
Journal link: https://health-affairs.com/
Abstract Link: https://health-affairs.com/abstract-1173-1181/ November 2024
Methods: A comprehensive literature review was conducted, examining studies published from 2000 to
2023 that evaluated the outcomes of oncoplastic surgery in breast cancer patients. Key databases, including
PubMed, Scopus, and Web of Science, were searched for relevant studies. Selection criteria focused on
studies that reported on both oncological safety (recurrence rates, margin status) and aesthetic or quality-of
life outcomes (patient-reported satisfaction, physical well-being). Data from selected studies were analyzed
to identify common techniques and assess their outcomes.
Results: The findings indicated that oncoplastic surgery was associated with high patient satisfaction rates
and improved quality of life, particularly in body image and psychological well-being. Techniques such as
volume displacement and volume replacement were found effective in achieving symmetrical and
aesthetically pleasing results. Recurrence rates and oncological outcomes were comparable to standard
breast-conserving surgery, demonstrating that oncoplastic approaches did not compromise cancer control.
However, certain complex techniques were associated with increased operative times and risk of
complications.
Conclusion: Oncoplastic surgery proved to be a valuable approach in breast cancer treatment, successfully
balancing oncological safety with aesthetic outcomes. The integration of reconstructive techniques has led
to enhanced patient satisfaction and quality of life without increasing the risk of cancer recurrence. These
findings support the broader adoption of oncoplastic techniques, though careful patient selection and
surgeon expertise remain essential to optimize outcomes.
Keywords:
Oncoplastic
surgery,breast cancer, oncological
safety, aesthetic
outcomes,
patient satisfaction, quality of life, reconstructive surgery