Abstract
BACKGROUND: Oncoplastic breast-conserving surgery (OBCS) has become an essential component of breast cancer treatment. Imaging guidance in breast surgery has the potential to enhance surgical precision. Despite increasing recognition, a comprehensive evaluation of its specific impact on OBCS for breast cancer is needed. This study aims to evaluate the impact of the application of imaging guidance in OBCS on the accuracy and safety of breast cancer surgery. METHODS: This retrospective cohort study included patients treated for breast cancer, divided into the OBCS group (Group A, n = 65) and the imaging-guided OBCS group (Group B, n = 69). Demographics, perioperative parameters, surgical margins, and postoperative complications of the study population were evaluated to assess the impact of imaging guidance on OBCS. Pearson correlation analysis was conducted to explore the relationship between various indicators and imaging-guided OBCS. RESULTS: A total of 134 patients were included. Compared to Group A, Group B showed significant reductions in operation time, intraoperative blood loss, excised breast weight, and length of stay. Additionally, Group B had narrower surgical margins and fewer postoperative complications, including hematoma, wound dehiscence, subcutaneous bleeding, and fluid accumulation. Correlation analysis revealed a strong negative association between imaging-guided OBCS and various surgical indices, highlighting the potential benefits of imaging guidance in enhancing surgical precision and patient outcomes. CONCLUSION: The findings of this study support the potential of imaging-guided OBCS to enhance surgical precision and safety in breast cancer management, offering benefits across multiple aspects of surgical care and patient prognosis.