腔镜胸肌前假体乳房重建术技术要点  

Technical key points of endoscopic prepectoral breast reconstruction with implants

作　　者：王子函[1] 毛开源 谢菲[1] WANG Zi-han;MAO Kai-yuan;XIE Fei(Department of Breast Surgery,Peking University People's Hospital,Beijing 100044,China)

机构地区：[1]北京大学人民医院乳腺外科,北京100044

出　　处：《中国实用外科杂志》2024年第11期1215-1219,共5页Chinese Journal of Practical Surgery

基　　金：北京市自然科学基金重点研究专题项目(No.Z220011)。

摘　　要：随着腔镜技术的普及和补片材料的应用,切口裂开、切口感染、包膜挛缩等胸肌前假体乳房重建术后并发症逐渐减少,胸肌前假体乳房重建术逐渐被临床医生重新认识。相比于胸肌前假体乳房重建术,胸肌后假体乳房重建术的缺陷日渐凸显,包括术后疼痛、胸大肌功能减退、运动畸形,以及放疗后可能引发的乳房变形、乳头乳晕复合体上移等问题,显著影响病人的生活质量。胸肌前假体乳房重建术的应用需要综合考虑皮褶厚度、病人对外观和触感的要求以及补片材料的可用性等因素。With the development of laparoscopic surgery and the application of implant materials,postoperative complications such as incision disruption,incision infection,and capsular contracture after prepectoral implant-based breast reconstruction have gradually decreased,and the feasibility of this method has been gradually reacquainted by clinicians.Compared to prepectoral implant-based breast reconstruction,the shortcomings of subpectoral implant-based breast reconstruction have increasingly emerged,including postoperative pain,impairment of pectoralis major muscle function,deformity during movement,and the possibility of breast deformation and elevation of the nipple-areola complex,which significantly affect patients'life quality.The indications for prepectoral implant-based breast reconstruction surgery need to comprehensively consider factors such as the thickness of skin folds,aesthetic and tactile requirements,and the availability of implant materials.

关 键 词：腔镜手术 乳腺癌 胸肌前假体乳房重建 

分 类 号：R6[医药卫生—外科学]