腔镜下假体乳房重建术的发展历程与展望

Endoscopic breast reconstruction with implants: history and prospects

  • 摘要: 乳腺癌已经成为全球女性最常见的恶性肿瘤,目前其治疗方式以手术为主。随着社会的发展,患者对乳腺癌手术后生存质量的要求不断提升,以腔镜技术为代表的微创手术在乳腺外科领域得到了广泛的应用并日趋成熟。与传统开放手术相比,乳腺腔镜手术具有独特的美学优势,尤其是在乳腺癌根治即刻假体乳房重建手术中,腋窝淋巴结切除、乳房腺体切除及假体乳房重建等术式的搭配组合,使得乳房表面皮肤在重建后没有明显瘢痕。相较于开放下行乳腺癌改良根治术,腔镜下假体乳房重建可以缩短手术时间,且术后康复快、留痕轻。本文总结了腔镜下假体乳房重建术的发展历程,并对其发展方向进行展望。

     

    Abstract: Breast cancer is the most common malignant tumor among women worldwide. Currently, its treatment mainly depends on surgery. Societal development has driven an increase in demand for improved quality of life post-breast cancer surgery. Thus, minimally invasive surgery utilizing laparoscopic technologies has matured into a widely used procedure in the field of breast surgery. Compared with traditional open surgery, minimally invasive surgery has unique aesthetic advantages, especially applicable to simultaneous radical breast cancer and prosthetic breast reconstruction surgery. Combining axillary lymph node dissection, breast gland excision, and prosthetic breast reconstruction leaves no obvious scarring on breast surface skin after reconstruction. Compared to autologous surgery, luminal prosthetic breast reconstruction reduces operation time, facilitates rapid postoperative recovery, and reduces scarring. This article summarizes the development of luminal prosthetic breast reconstruction and discusses its directions.

     

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