乳腺癌保乳术后腹腔镜带蒂网膜瓣一期乳房重建术  

Immediate breast reconstruction using laparoscopicaily harvested omental flap after breast- conserving surgery

作　　者：宋向阳[1] 管丹丹[1] 林辉[1] 戴益[1] 郑雪咏[1] 朱一平[1] 王先法[1] 

机构地区：[1]浙江大学医学院附属邵逸夫医院外科, 杭州310016

出　　处：《中华整形外科杂志》2011年第6期401-405,共5页Chinese Journal of Plastic Surgery

摘　　要：目的报道乳腺癌保乳术后一期腹腔镜带蒂网膜瓣乳房重建的早期临床经验，并评价其安全性、可行性及临床效果。方法回顾分析2010年6月至2011年1月5例施行保乳术后一期腹腔镜带蒂网膜瓣乳房重建术的前瞻性临床研究资料，包括手术时间、住院时间、术后并发症、乳房重建效果。结果所有病例均成功施行该手术，无巾转开腹，平均手术时间310min，其中腹腔镜网膜收集时间为60min。所有患者术后均顺利恢复，平均住院时间8d。术后除1例出现轻度上腹部牵拉感外未见其他手术相关并发症。术后乳房重建效果令人满意。结论乳腺癌保乳术后一期腹腔镜带蒂网膜瓣乳房重建术安全可行、创伤小、恢复快、供区隐匿且重建效果较佳，是目前乳房重建方式的有益补充。Objective To report our primary experience with immediate breast reconstruction using laparoscopieally harvested omental flap after breast-conserving surgery. The safety, feasibility, and clinical effect are also evaluated. Methods From Jun. 2010 to Jan. 2011, 5 cases who underwent immediate breast reconstruction using laparoseopically harvested omental flap after breast-conserving surgery were retrospectively analyzed. The operative duration, postoperative days in hospital, complication and therapeutic effect were reviewed. Results All the patients were treated successfully without laparotomy. The average operative duration was 310 min, including 60 min for harvesting the omental flap. The median postoperative days in hospital was 8 days（ ranged, 5-9 days）. One case complained of slight pulled feeling in upper abdomen. No other complication happened. The cosmetic result of reconstructed breasts was satisfactory. Conclusions The immediate breast reconstruction using laparoscopically harvested omental flap is safe and feasible with less morbidity in donor sites and good cosmetic effect. It is one of the ideal methods for immediate breast recosntruetion.

关 键 词：乳腺肿瘤 乳房切除术 区段 乳房再造术 大网膜瓣 腹腔镜 

分 类 号：R737.9[医药卫生—肿瘤]