腔镜全胸肌后假体乳房重建术技术要点  

Technical key points of endoscopic total sub-pectoral implant-based breast reconstruction

作　　者：张哲 徐国正 陈卓[1] 赵婷婷 王芳[1] ZHANG Zhe;XU Guo-zheng;CHEN Zhuo;WANG Fang(Department of Breast Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院乳腺外科,河南郑州450000

出　　处：《中国实用外科杂志》2024年第11期1219-1222,共4页Chinese Journal of Practical Surgery

基　　金：河南省教育厅基金项目(No.24A320061);白求恩医学研究基金项目(No.2023-YJ-153-J-019)。

摘　　要：全胸肌后假体乳房重建术是经典的乳房重建技术,相较于胸肌前平面,胸肌后假体乳房重建术适用范围广、手术操作较简单。随着腔镜乳腺手术的应用,腔镜全胸肌后假体乳房重建术逐渐发展,其适应证的选择和手术的关键技术要点、操作步骤还需进一步规范。若假体较大或健侧乳房垂度过大,还可选择双平面重建联合补片。Total sub-pectoral implant-based breast reconstruction is a classic breast reconstruction technique.Compared with the pre-pectoral plane,sub-pectoral implant-based breast reconstruction has a wide range of applications and simpler operations.With the application of endoscopic breast surgery,endoscopic total sub-pectoral implant-based breast reconstruction is developing gradually.The selection of indications and the key technical points and surgery procedures need to be further standardized.If the prosthesis is large or the healthy side breast sag is too large,biplanar reconstruction combined with mesh can also be considered.

关 键 词：乳腺癌 乳房重建术 腔镜技术 假体植入 

分 类 号：R6[医药卫生—外科学]