中国实用外科杂志

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腔镜技术在乳腺癌治疗应用及评价

骆成玉   

  1. 首都医科大学附属复兴医院乳腺微创中心,北京100038
  • 出版日期:2015-07-01 发布日期:2015-06-30

  • Online:2015-07-01 Published:2015-06-30

摘要:

传统乳腺癌手术存在的一些固有缺陷激发了外科医生对微创手术的探索,乳腔镜开创了乳腺癌微创外科新领域。乳腔镜辅助保乳手术,改善了常规保乳手术的功能和美容效果。乳腔镜皮下乳腺腺体切除一期假体植入术治疗乳腺癌已显示明显优势。乳腔镜辅助小切口改良根治术可以避免常规手术中对肿瘤的挤压,摆脱胸壁巨大、丑陋切口瘢痕。乳腔镜腋窝淋巴结清扫体现了微创和功能效果。乳腔镜手术还解决和改善了乳腺外科的部分临床难题,如内乳淋巴结清扫、注射式隆乳术后出现的并发症处理。此外,乳腔镜辅助下乳房切除后的即时乳房重建在技术上已日臻成熟。

关键词: 腔镜, 乳腺癌

Abstract:

Application and evaluation of mastoscopy in the treatment of breast cancer        LUO Cheng-yu. Breast Minimally Invasive Center,Fuxing Hospital,Capital Medical University,Beijing 100038, China
Abstract    Some inherent flaws existed in traditional breast cancer surgery stimulate surgeons to explore the minimally invasive surgery. Mastoscopy founds a new world of minimally invasive surgery of breast cancer. Mastoscopy-assisted breast-conserving surgery improves the function and the cosmetic effect. The prosthesis implantation after hypodermic gland excision by mastoscopy has showed the obvious superiority. Modified radical mastectomy by mastoscopy-assisted small incision can avoid the extrusion to tumor and gets rid of the big, ugly scar in thoracic wall. MALND manifests minimally invasion and good look greatly. Mastoscopy operation also solves and improves the partial difficult problems. In addition, the technique of mastoscopy-assisted immediate breast reconstruction after breast excision has gradually matured.

Key words: mastoscopy, breast cancer