ĐÁNH GIÁ CHẤT LƯỢNG CUỘC SỐNG CỦA BỆNH NHÂN SAU PHẪU THUẬT CẮT TUYẾN VÚ TOÀN BỘ KẾT HỢP TÁI TẠO VÚ CÙNG THÌ BẰNG TÚI ĐỘN

Abstract

Background: In non–breast-conserving breast cancer cases, total mastectomy causes notable physical and psychological impacts. Immediate implant-based reconstruction is increasingly adopted for its simplicity, minimal invasiveness, affordability, and enhanced aesthetic and quality-of-life outcomes. Patients and Methods: A retrospective descriptive study was conducted on 117 patients undergoing total mastectomy with immediate implant-based reconstruction and 130 patients undergoing mastectomy alone at K Hospital from June 2023 to June 2025. Aesthetic outcomes were assessed using the Lowery–Carlson scale, while quality of life was measured using the EQ-5D-5L and BREAST-Q questionnaires at 1 month and ≥ 6 months postoperatively. Results: In the reconstruction group, 88.9% of patients achieved excellent or good aesthetic outcomes. Breast ptosis and contralateral breast intervention significantly influenced these outcomes (p < 0.05). EQ-5D-5L scores at 1 month (0.859 ± 0.106 vs. 0.876 ± 0.112; p = 0.222) and ≥ 6 months (0.893 ± 0.121 vs. 0.896 ± 0.116; p = 0.843) showed no significant differences between groups, suggesting that immediate implant-based reconstruction is well tolerated, with rapid recovery and stable results comparable to mastectomy alone. BREAST-Q results demonstrated significantly higher scores in breast satisfaction, psychosocial, and sexual well-being in the reconstruction group at both time points (p < 0.001), while physical well-being of the chest showed no significant difference (p > 0.05). Conclusion: Immediate implant-based breast reconstruction after total mastectomy at K Hospital yields favorable aesthetic outcomes and significantly enhances patient satisfaction, psychosocial well-being, and sexual health, thereby improving quality of life in early-stage breast cancer patients.