腔镜乳房手术的十八般武器:气体和液体的应用  

Eighteen weapons of endoscopic breast surgery:Application of gas and liquid

作　　者：曹晓蔓 朱中建 邬昊 张颂博 梁法清[1,2] 谢妍妍 杜正贵[1,2] CAO Xiaoman;ZHU Zhongjian;WU Hao;ZHANG Songbo;LIANG Faqing;XIE Yanyan;DU Zhenggui(Department of General Surgery,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;Breast Center,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;Department of Breast Surgery,Sichuan Clinical Research Center for Cancer,Sichuan Cancer Hospital&Institute,Sichuan Cancer Center,University of Electronic Science and Technology of China,Chengdu 610041,P.R.China)

机构地区：[1]四川大学华西医院普通外科,成都610041 [2]四川大学华西医院乳腺疾病中心,成都610041 [3]四川省肿瘤医院·研究所,四川省肿瘤临床医学研究中心,四川省癌症防治中心,电子科技大学附属肿瘤医院乳腺外科,成都610041

出　　处：《中国普外基础与临床杂志》2025年第3期277-281,共5页Chinese Journal of Bases and Clinics In General Surgery

基　　金：四川省自然科学基金项目(项目编号:2022NSFSC0744)。

摘　　要：在传统开放乳房手术中,手术创伤大且术后瘢痕明显。腔镜和机器人辅助乳房手术,因具备手术切口小、并发症发生率较低、美容学效果较好等优点,日益受到重视。但是由于乳腺缺乏自然腔隙,如何建立并维持手术所需操作空间,成为了腔镜乳房手术面临的首要挑战。现对腔镜和机器人乳房手术的研究进展进行回顾,并总结既往技术的创新点及面临的困境,重点介绍气体和液体的物理及生物特性在腔镜乳房手术中的应用价值。In conventional open breast surgery,the surgical trauma is significant and the postoperative scar is often noticeable.Endoscopic and robot-assisted breast surgery is increasingly attracting attention due to the advantages such as smaller incisions,lower complication rate,and improved aesthetic outcomes.However,the lack of natural cavities in the breast has become a primary challenge in establishing and maintaining the necessary surgical space for endoscopic breast surgery.We reviewed the research progress of endoscopic and robot-assisted breast surgery,summarized the the innovations and challenges of existing techniques,and focused on introducing the application value of physical and biological properties of gas and liquid in endoscopic breast surgery.

关 键 词：乳腺疾病 腔镜手术 机器人手术 气体 液体 

分 类 号：R73[医药卫生—肿瘤]