腔镜在乳腺外科的临床应用  

Clinical application of endoscope in breast surgery

作　　者：张海添[1] 陆云飞[1] 曾健[1] 林坚[1] 廖清华[1] 

机构地区：[1]广西医科大学第一附属医院外科,南宁530021

出　　处：《中华乳腺病杂志（电子版）》2007年第6期225-227,共3页Chinese Journal of Breast Disease(Electronic Edition)

摘　　要：目的探讨腔镜在乳腺外科的临床应用及存在的问题。方法对45例乳腺癌患者行腋窝脂肪抽吸后,采用腔镜施行腋窝淋巴结清扫,并对3例乳腺多发性纤维腺瘤和3例男性乳房发育症患者行腔镜下乳腺肿物切除术或皮下乳房切除术。结果全部患者均顺利完成手术,手术历时50～180min。除1例术后有切口内出血外,其余患者术后恢复顺利。结论腔镜在乳腺外科的应用具有传统手术无法达到的微创优势和美容效果,提高了患者的生活质量,是对传统手术方法的挑战。Objective To explore the clinical application of endoscope in breast surgery and existing problems. Methods Forty-five breast cancer patients underwent endoscopic axillary lymphadenectomy after axillary liposuction. In 3 patients with multiple breast fibroadenoma, tumors were removed using endoscopic resection, and 3 gynecomastia patients were treated with endoscopic subcutaneous mastectomy. Results All operations were performed successfully without deaths. The duration of operation was 50 - 180 minutes. All patients had smooth postoperative recovery except that one patient suffered postoperative bleeding from the incision. Conclusions Endoscopic operation has the advantages of minimal invasion and good costactic effect which can not be achieved by conventional operation methods in breast surgery, and also improves the life quality of the patients. It is a challenge to conventional operation methods.

关 键 词：乳腺疾病 腔镜 

分 类 号：R737.9[医药卫生—肿瘤]