中国实用外科杂志

中国实用外科杂志

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单孔充气法腔镜乳腺癌保乳手术66例疗效分析

徐    威，王子函，高国璇，冈天然，屈    翔   

  1. 首都医科大学附属北京友谊医院普外科，北京100050
  • 出版日期:2020-10-01 发布日期:2020-10-19

  • Online:2020-10-01 Published:2020-10-19

摘要： 目的    探讨单孔充气法腔镜保乳手术在早期乳腺癌治疗中的临床应用价值。方法    回顾性分析2018年1月至2019年1月首都医科大学附属北京友谊医院普外科收治的行单孔充气法腔镜保乳手术的66例早期乳腺癌病人的临床资料，并进行随访，对手术根治性、术后美容效果，以及病人的生活质量和满意度进行评估。结果  66例病人均顺利完成手术，无中转开放病例，19例病人行腋窝淋巴结清扫。手术时间为（194.9±70.6）min，术中出血（24.3±19.1）mL。手术切口长度为（3.3±1.2）cm，术后均未出现切口感染。术后中位随访时间为21（18~26）个月，均无肿瘤局部复发或远处转移。通过BREAST-Q量表进行评价，术后乳房满意度、放疗副反应、社会心理状态、胸壁状态、性健康程度评分分别为：（73.8±18.4）、（61.6±17.3）、（84.9±16.4）、（80.2±16.5）、（61.7±28.1）分。结论    单孔充气法腔镜保乳手术治疗早期乳腺癌病人，可获得较好的根治和美容效果，病人术后生活质量和满意度较高。

关键词: 乳腺癌, 单孔腔镜手术, 保乳手术, 早期

Abstract: Clinical analysis of 66 breast cancer patients receiving single-port inflatable endoscopic breast-conserving surgery        XU Wei，WANG Zi-han，GAO Guo-xuan，et al. Department of General Surgery，Beijing Friendship Hospital, Capital Medical University，Beijing 100050，China
Corresponding author：QU Xiang，E-mail：qx3968@sina.com
XU Wei and WANG Zi-han are the first authors who contributed equally to the article.
Abstract    Objective    To explore the clinical application value of single-port inflatable endoscopic breast-conserving surgery in the treatment of breast cancer. Methods    The clinical data of breast cancer patients received single-hole inflatable endoscopic breast-conserving surgery from January 2018 to January 2019 in Department of General Surgery，Beijing Friendship Hospital, Capital Medical University were analyzed retrospectively and followed up. The radical operation，cosmetic effect after operation，quality of life and satisfaction score of patients were evaluated. Results    Single-hole inflatable endoscopic breast-conserving surgery was performed successfully in 66 patients. Axillary lymph node disscetion was performed in 19 patients. The mean operation time was （194.9±70.6）min and the intraoperative blood loss was（24.3±19.1）mL. The average incision length was（3.3±1.2）cm and no incision infection occurred after the incision. The median follow-up time was 21 months (18 months to 26 months)，and there was no local recurrence or metastasis. By BREAST-Q scale，the scores of postoperative breast satisfaction，side effects of radiotherapy，psychosocial status，chest wall status and sexual health were（73.8±18.4），（61.6±17.3），（84.9±16.4），（80.2±16.5）and （61.7±28.1）points respectively. Conclusion    Single-port inflatable endoscopic breast-conserving surgery may achieve provided curative and cosmetic effect on patients with breast cancer，with good patients' postoperative quality of life and satisfaction.

Key words: breast cancer, single-port endoscopic surgery, breast-conserving surgery, early stage