腔镜辅助下良性乳腺肿块切除和乳腺癌保乳手术的应用与进展  

Implementation and development of endoscopic benign breast lump resection and breast-conserving surgery for cancer

作　　者：王徐立人 熊敏 邵志博 修秉虬 吴炅 杨犇龙 WANG Xuliren;XIONG Min;SHAO Zhibo;XIU Bingqiu;WU Jiong;YANG Benlong(Department of Breast Surgery,Fudan University Shanghai Cancer Center,Shanghai,200032,P.R.China)

机构地区：[1]复旦大学附属肿瘤医院乳腺外科,上海200032

出　　处：《中国修复重建外科杂志》2024年第7期776-780,共5页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的回顾乳腺外科腔镜技术的发展历程,探讨其在良性乳腺肿块切除和乳腺癌保乳手术中的应用,并综述国内保乳手术中腔镜技术的发展和应用情况,强调技术推广和同质化的挑战,展望腔镜技术在乳腺外科领域的未来发展方向。方法通过检索相关文献,对乳腺外科腔镜技术的历史演变、临床应用及相关研究进行系统性回顾和分析,重点讨论腔镜技术在良性乳腺肿块切除和乳腺癌保乳手术中的优势与不足。结果腔镜技术在良性乳腺肿块切除和乳腺癌保乳手术中的应用改善了患者术后的心理健康和生活质量,尤其在无痕手术方面取得了显著进展。然而,腔镜技术也面临术中视野受限和手术时间延长等问题,导致其在临床实践中的应用存在一定争议。结论腔镜技术在乳腺外科取得了重要进展,但仍存在一定挑战;未来需要进一步技术改进和临床研究,以解决现有问题,推动技术推广和实现同质化将是腔镜技术在乳腺外科领域发展的关键。Objective To review the development of endoscopic techniques in breast surgery,focusing on their use in benign breast lump resection and breast-conserving surgery for cancer,and also summarize the development and application of these techniques in China,highlighting promotion and homogenization challenges and future directions.Methods A systematic review of relevant literature was conducted to trace the historical evolution,clinical applications,and related research of endoscopic techniques in breast surgery,emphasizing their advantages and disadvantages of endoscopic benign breast lump resection and breast-conserving surgery for cancer.Results Endoscopic benign breast lump resection and breast-conserving surgery for cancer have improved patients’postoperative psychological health and quality of life,particularly in scar-free surgery.However,challenges such as limited intraoperative visibility and prolonged surgery time lead to controversy in clinical practice.Conclusion Despite significant advancements,endoscopic techniques in breast surgery also face challenges.Future efforts should focus on technological improvements and clinical esearch to address these issues,promoting widespread application and standardization.The key to future development lies in the promotion and homogenization of these technologies.

关 键 词：微创手术 腔镜 乳腺 肿块切除 保乳手术 

分 类 号：R737.9[医药卫生—肿瘤]