关键词: 腔镜手术, 乳腺癌, 胸肌前假体乳房重建

Abstract: With  the development of laparoscopic surgery and the application of implant materials, postoperative complications such as incision disruption, incision infection, and capsular contracture after prepectoral implant-based breast reconstruction have gradually decreased, and the feasibility of this method has been gradually reacquainted by clinicians. Compared to prepectoral implant-based breast reconstruction, the shortcomings of subpectoral implant-based breast reconstruction have increasingly emerged, including postoperative pain, impairment of pectoralis major muscle function, deformity during movement, and the possibility of breast deformation and elevation of the nipple-areola complex, which significantly affect patients' life quality. The indications for prepectoral implant-based breast reconstruction surgery need to comprehensively consider factors such as the thickness of skin folds, aesthetic and tactile requirements, and the availability of implant materials.

Key words: endoscopic surgery, breast cancer, prepectoral breast reconstruction with implants