经腋窝单孔充气法乳腺腔镜手术治疗乳腺疾病的临床应用分析

Analysis of the clinical application value of single-port inflatable endoscopy via axillary approach surgery for breast diseases

  • 摘要:
      目的  探讨采用经腋窝单孔充气法乳腺腔镜手术在乳腺疾病中的可行性、安全性及临床应用价值。
      方法  回顾性分析2020年12月至2022年3月于天津医科大学肿瘤医院收治经腋窝单孔充气法乳腺腔镜手术的84例乳腺疾病患者的临床资料,包括患者基线临床特征、术中及术后恢复情况、术后满意度评分及随访情况。
      结果  84例患者均顺利完成手术,无中途转为开放手术病例。术后满意度评分为(8.25±1.21)分,手术效果佳。术后无切口感染、切缘坏死等重大并发症发生。随访8~23个月,未发现肿瘤局部复发及转移。
      结论  经腋窝单孔充气法乳腺腔镜手术安全高效、并发症少、患者满意度高,临床应用上具有推广前景。

     

    Abstract:
      Objective  To explore the feasibility, safety and clinical application value of single-port inflatable endoscopic by the axillary approach in the treatment of breast diseases.
      Methods  The clinical data of 84 patients with breast diseases received single-port inflatable endoscopic by the axillary approach breast surgery from December 2020 to March 2022 in Tianjin Medical University Cancer Institute & Hospital were analyzed retrospectively and followed up. The clinical characteristics, intraoperative and postoperative recovery, postoperative satisfaction scores, and local recurrence and distant metastasis were evaluated.
      Results  The operations in 84 patients were successfully completed without the requirement for conversion to open surgery. The score of postoperative breast satisfaction was (8.25 \pm 1.21). There were no major complications such as incision infection and necrosis of incision margin after operation. During the follow-up period of 8–23 months, none of the patients showed local recurrence or tumor metastasis.
      Conclusions  The single-port inflatable endoscopic by the axillary approach breast surgery is safe and efficient, with few complications and high patient satisfaction, and has a promising prospect in clinical application.

     

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