华西医院日间腔镜乳腺皮下切除联合一期假体重建的临床路径简介  

A brief introduction to the clinical pathway of the endoscopic-assisted immediate implant-based breast reconstruction after nipple sparing mastectomy for breast cancer patients in day surgery center of West China Hospital

作　　者：周娇 梁法清[1] 谢妍妍 文楠 张颂博 冯玉 刘馨然 黄艺璇 杨焕佐 邱梦雪 吕青[1] 杜正贵[1] ZHOU Jiao;LIANG Faqing;XIE Yanyan;WEN Nan;ZHANG Songbo;FENG Yu;LIU Xinran;HUANG Yixuan;YANG Huanzuo;QIU Mengxue;LV Qing;DU Zhenggui(Department of Breast Surgery,West China Hospital,Sichuan University,Chengdu,610041,P.R.China)

机构地区：[1]四川大学华西医院乳腺外科,成都610041

出　　处：《中国胸心血管外科临床杂志》2021年第12期1393-1399,共7页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：四川省科技计划资助项目(2019YFH0146,2020YFS0199,2021YFS0104)。

摘　　要：传统观点认为乳房重建手术不适合在日间手术中心进行,全球范围内行日间乳房重建手术的医院寥寥无几。乳腺癌溶脂法腔镜重建手术及机器人辅助重建手术虽属于微创手术,但均因手术时间较长且要求特殊设备无法在日间手术中心开展。我院独创的腋窝入路非溶脂法腔镜逆序乳腺癌皮下切除联合假体一期乳房重建手术,总耗时短,创伤小,已在我院日间手术中心成功开展。由于日间手术术前、术后充分且标准的管理,术后患者并发症少,愈合快,同时腔镜手术的开展又使得乳房几乎无疤痕,美观性得到了极大提高。因此,我院日间腔镜重建手术模式有望在全国普及开来。The traditional view is that breast reconstruction is not an option for day surgery center. As a result,few hospitals in the world conduct this operation in day surgery center. Endoscopic breast reconstruction with liposuction and robot-assisted breast reconstruction are minimally invasive surgeries for breast cancer patients, but they cannot be carried out in the day surgery center due to long operation time. The novel endoscopic-assisted immediate implant-based breast reconstruction after nipple sparing mastectomy through a single axillary incision for breast cancer patients has been successfully conducted in the day surgery center in our hospital due to short operation time and small trauma.Standardized management of the complete process from the patient selection to follow-up after discharge brings rapid recovery and few complications. At the same time, the development of endoscopic surgery makes the breast almost scarless and improves aesthetic results. Therefore, the mode of endoscopic-assisted reconstruction in the day surgery center of our hospital is expected to be popularized in the whole country.

关 键 词：日间手术 腔镜 逆序法 假体重建 乳腺癌 临床路径 

分 类 号：R655.8[医药卫生—外科学]