腋下隐蔽小切口早期乳腺癌保乳手术  

Transaxillary small and concealed incision breast-conserving surgery for early breast cancer

作　　者：骆成玉[1] 张键[1] 林华[1] 杨齐[1] 薛镭[1] 黄旋[1] 李国华[1] 张勇智[1] 

机构地区：[1]首都医科大学附属北京复兴医院普外科暨乳腺疾病微创治疗中心,北京100038

出　　处：《中国微创外科杂志》2004年第4期279-280,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的　探讨经腋下隐蔽小切口早期乳腺癌保乳手术的可行性及效果。　方法　全麻下经腋下入路 ,通过小切口 ,必要时辅助乳腔镜 ,结合腋窝脂肪溶解抽吸技术 ,完成保乳手术 2 1例。　结果　术中冰冻病理报告所有标本各切缘无癌残留。 3例腋窝淋巴结有转移 ( 1/ 13、2 / 2 4和 3/ 19)。平均手术时间 81 6min。 1例出现皮下积液 ,经抽液加压包扎后 ,术后 13天消失。所有病例乳房形态保持良好 ,患者满意。术后随访 3～ 15个月 ,平均 9个月 ,未见复发和远处转移迹象。　结论　经腋下入路隐蔽小切口早期乳腺癌保乳手术可行 ,效果良好 。Objective To study the feasibility and effect of transaxillary small and concealed incision breast-conserving surgery for early breast cancer. Methods Twenty-one cases of transaxillary breast-conserving surgery,mastoscope-assisted,if necessary,combined with lipolysis and suction of the fat in axilla,were completed through a small incision under general anesthesia. Results Intraoperative frozen-section pathological examination reported negative margins in all the samples.Lymph node metastasis in axillary fossa was found in 3 cases (1/13,2/24 and 3/19).The mean operation time was 81.6 min.Subcutaneous effusion occurred in 1 case,which was treated by suction and pressure dressing and subsided completely on the 13th postoperative day.All the patients were satisfied with their breast appearances.Follow-up observations for 3 ～ 15 months (mean,9 months) found no recurrence or distant metastasis. Conclusions Transaxillary small and concealed incision breast-conserving surgery for early breast cancer is feasible and effective,improving the quality of life of patients.

关 键 词：乳腺癌 保留乳房 内镜 

分 类 号：R737.9[医药卫生—肿瘤]