关键词: 乳腺肿瘤, 腔镜, 乳房重建, 微创手术

Abstract: In recent years, endoscopic breast surgery, represented by endoscopic nipple-areola-sparing mastectomy (NSM) plus prosthetic breast reconstruction, has been widely carried out in China, but there is still a lack of uniform technical specifications. Expert consensus on oncoplastic surgery of breast tumor and breast reconstruction (2022 edition) (referred to as the 2022 edition consensus) adds a chapter on breast endoscopic surgery based on the 2020 edition consensus. The 2022 edition consensus introduces the safety, indications, operation techniques, and possible complications of breast endoscopic surgery, and summarizes the literature. Based on published research results, breast reconstruction surgery with endoscopic NSM combined with prosthesis has a low recurrence rate, low glandular residual rate, low complication rate, a wide range of indications, and simple operation, and is easy to learn and worthy of widespread promotion. However, most of the published studies are single-center and retrospective studies, and it is expected that the results of prospective clinical trials under way will be published to confirm the efficacy of endoscopic NSM combined with prosthesis breast reconstruction surgery, and further promote the standard application of this surgery.

Key words: breast cancer, endoscopy, breast reconstruction, minimally invasive surgery