Background: In recently years, breast endoscopic reconstruction surgery is becoming increasingly popular.And we have explored a series of endoscopic breast reconstruction procedures and applied it to our day surgery under the epidemic control of the novel coronavirus.Methods: The present study was a retrospective analysis. Patients who underwent unilateral breast endoscopic reconstruction surgery in the West China Hospital from April 2017 to February 2021 were included in the study. Patients were divided into the following three groups: ward exploration period (WEP), ward maturation period (WMP), and day surgery period (DSP), respectively. We compared the results of postoperative complications, hospitalization costs, operation time, and BREAST-Q (a patient-reported outcome instrument measuring health-related quality-of-life and patient satisfaction in breast surgery) scale scores among the three groups of patients.Results: A total of 66 patients were included (WEP n=30, WMP n=14, DSP n=22). Four people refused to complete the BREAST-Q scale, and five patients missed complication record sheets. Patients in the DSP and WMP groups had slightly higher postoperative satisfaction with their breasts than WEP, but there was no statistically significant difference (3 months postoperatively: WEP vs. WMP =0.515, WEP vs. DSP =0.418, WMP vs. DSP =0.982). On the postoperative BREAST-Q scale scores of psychosocial, sexual life and chest well-being, patients with DSP scored slightly higher than those with WEP versus WMP, but there was no statistically significant difference. The incidence of postoperative complications was generally higher in the WEP group than in the WMP and DSP groups, but there was no statistically significant incidence of either major or minor complications (P=1.000). With the use of prostheses and mesh, patients in the DSP group had lower hospitalization costs than other two groups. In terms of operative time, patients in the WMP and DSP groups had shorter operative times compared with the WEP group, and the results were statistically significant (WEP vs. WMP =0.000, WEP vs. DSP =0.000, WMP vs. DSP =0.243). Conclusions:We believe that performing our newly developed endoscopic breast reconstructive surgery at a day surgery center is safe and reliable.

Using the numerical renormalization group method, the effect due to a Kondo impurity in an swave superconductor is examined at finite temperature (T ). The T -behaviors of the spectral function and the magnetic moment at the impurity site are calculated. At T =0, the spin due to the impurity is in singlet state when the ratio between the Kondo temperature T k and the superconducting gap ∆(0) is larger than 0.26. Otherwise, the spin of the impurity is in a doublet state. We show that the separation of the double Yu-Shiba-Rusinov peaks in the spectral function shrinks as T increases if T k /∆(0) < 0.26 while it is expanding if T k /∆(0) > 0.26 and ∆(0) remains to be a constant. These features could be measured by experiments and thus provide a unique way to determine whether the spin of the single Kondo impurity is in singlet or doublet state at zero temperature.

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We report the existence of the charge density wave (CDW) in the ground state of 1D Kondo lattice model at the filling of n=0.75 in the weak coupling region. The CDW is driven by the effective Coulomb repulsion mediated by the localized spins. Based on our numerical results using the density matrix renormalization group method, we show that the CDW phase appears in the paramagnetic region previously known as the Tomonaga-Luttinger liquid. The emergence of this phase serves as an example of CDW phase induced without bare repulsive interactions, and enriches the phase diagram of the 1D Kondo lattice model.