Abstract:

Objective To investigate the safety and cosmetic effect of gynecomastia under endoscopy through transaxilla. Method From January 2020 to January 2022, there were 19 patients analyzed retrospectively who treated under axillary endoscopic subcutaneous mastectomy in the General Surgery First Department of Qingdao Municipal Hospital, summarize the treatment, complications and follow-up results of patients. Result All 19 patients completed the operation, unilateral operation time is (1.6±0.8)h, bilateral time is (3.3±1.1)h, blood volume is (10±5)ml. The pathological examination showed that 12 cases were mixed type, 2 cases were fat type and 3 cases were glandular type; there are no nipple areola necrosis and subcutaneous effusion occurred in all cases; we followed two years, one patient had local nipple depression half a year after operation, and improved after autologous adipose tissue filling. Conclusion Axillary endoscopic treatment of gynecomastia is safe and effective,

and the cosmetic effect is good.

Key words: Gynecomastia, Transaxillary, Endoscopy, Gland excision