乳腺腔镜经腋下小切口施行乳腺癌保乳手术  

Endoscopic breast-conserving surgery in the treatment of early stage of breast cancer via transaxillary small concealing incision

作　　者：骆成玉[1] 张键[1] 林华[1] 杨齐[1] 薛镭[1] 黄旋[1] 李国华[1] 张勇智[1] 

机构地区：[1]首都医科大学附属北京复兴医院普外科,北京100038

出　　处：《中国普通外科杂志》2004年第5期324-326,共3页China Journal of General Surgery

摘　　要：目的　探索腔镜经腋下隐蔽小切口对早期乳腺癌行保乳手术的可行性及效果。方法　全麻下使用乳腺腔镜经腋下小切口入路 ,结合腋窝脂肪溶解抽吸技术 ,进行保乳手术 2 1例。结果　术中冷冻病理切片报告所有标本各切缘均无癌残留。 3例腋窝淋巴结有转移。平均手术时间 81.6min。术后 1例出现皮下积液 ,经抽液加压包扎后消失。所有病例乳房形态保持良好 ,患者满意。均获随访 3 .1～ 15 .6个月 ,未见复发和远处转移。结论　乳腺腔镜经腋下入路行早期乳腺癌保乳手术切口微小隐蔽 ,可提高患者的生活质量 ;改变了早期乳腺癌常规保乳手术的观念。腋窝脂肪抽吸后 ,腋窝淋巴清扫变得容易。Objective To study the feasibility and effect of endoscopic breast conserving surgery in the treatment of early stage of breast cancer(EBC) via transaxillary small concealing incision. Methods Twenty -one cases of EBC were treated by endoscopic breast conserving surgery,combined with the lipolysis and suction of the fat in axilla, via transaxillary small incision. Results There was no cancer residue in all the resected margins of all samples confirmed by the frozen sections. The lymph nodes metastasis was found in 3 cases. The average operation time was 81.6 minutes. Subcutaneous liquid collection occurred in one case postoperatively,the liquid disappeared quickly after treatment. All patient′s had a good breast configuration. All patients were followed-up for 3.1 months to 15.6 months after operation. There were no recurrence and distant metastasis in this series. Conclusions Breast conserving surgery can be smoothly performed by a small concealing incision with endoscope. This operation has many advantages, such as the incision is small and concealing, so it can improve the patients′ quality of life. The suction of the fat in axilla makes axillary dissection easier.

关 键 词：乳腺肿瘤/外科学 内窥镜术 保乳手术 

分 类 号：R737.9[医药卫生—肿瘤] R730.49[医药卫生—临床医学]