腔镜乳腺癌根治乳房重建的现状及努力方向  

Research status and effort direction of breast reconstruction after endoscopic radical mastectomy of breast cancer

作　　者：罗云峰[1] 朱燕雯 黄雨 LUO Yun-feng;ZHU Yan-wen;HUANG Yu(Department of Breast Surgery,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,China)

机构地区：[1]南方医科大学珠江医院乳腺外科,广州510282 [2]南方医科大学中西医结合医院乳甲血管外科,广州510315

出　　处：《中国临床新医学》2023年第9期873-879,共7页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广州市临床特色技术项目(编号:2023P-TS23)。

摘　　要：社会的进步促进了患者对提高乳腺癌手术后生活质量的要求。微创理念在乳腺外科领域的不断提升,使以腔镜技术为代表的微创手术得到了广泛的应用并日趋成熟。在不改变乳腺癌外科治疗原则的基础上,相较于传统开放手术,微创手术具有独特的微创及美学优势,尤其是在乳腺癌根治即刻乳房重建手术中,腋窝淋巴结切除、乳房腺体切除及获取自体组织行乳房重建等术式的灵活搭配组合,使重建后的乳房表面皮肤不再留下瘢痕,代表着乳腺癌的外科治疗步入了新的阶段。该文根据笔者的经验,就乳腺癌根治乳房重建的腔镜技术在纵深及腔镜术式整合方面进行探讨,为致力于乳腺腔镜技术的专家学者在临床治疗中提供一些参考。The progress of society has promoted patients'requirements for improving the quality of life after breast cancer surgery,and the continuous improvement of minimally invasive concept in the field of breast surgery has made minimally invasive surgery represented by endoscopic technology widely used and has made it becoming more and more mature.On the basis of not changing the principle of breast cancer surgery,compared with traditional open surgery,the minimally invasive surgery shows unique minimally invasive and aesthetic advantages,especially in immediate breast reconstruction surgery for radical mastectomy.The flexible combination of axillary lymph node resection,mastectomy and breast reconstruction with autologous tissues keeps the reconstructed breast skin surface from scarring,which represents a new stage of surgical treatment of breast cancer.Based on the authors'experience,this paper discusses the longitudinal depth and integration of endoscopic breast reconstruction after radical mastectomy,and provides some reference for experts and scholars who are committed to mastoscopic techniques in clinical treatment.

关 键 词：乳腺癌 乳房重建 微创 腔镜技术 机器人手术 

分 类 号：R737.9[医药卫生—肿瘤]