Abstract:

Protection and technical key points of nipple-areola complex in breast reconstruction        CUI Jian-xiu, JIANG Hong-chuan. Department of Breast Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
Corresponding author：JIANG Hong-chuan, E-mail:jhc2000@
sohu.com
Abstract    Traditional mastectomy requires the removal of nipple-areola complex (NAC), no matter whether the subsequent reconstruction or not, it can’t meet the aesthetic needs of patients. With the development of breast reconstruction technology, immediate breast reconstruction with preservation of nipple-areola complex has superior aesthetic effect. More and more breast cancer patients can maintain the integrity and beauty of their body after operation. How to better protect the nipple-areola complex in breast reconstruction surgery has become one of the focuses of breast surgeons. The operator should have a strong sense of NAC protection, carefully grasp the characteristics of the posterior mammary duct and blood supply of NAC, reasonably design the surgical incision, and reduce the occurrence of postoperative nipple ischemia, necrosis and other complications as far as possible.

Key words: breast cancer, breast reconstruction, nipple-areola complex

摘要：

传统的乳房切除术要求切除乳头乳晕复合体（NAC）。该术式无论后续重建与否，都无法满足病人的美观需求。随着乳房重建技术的发展，保留NAC的即刻乳房重建手术具有优越的美学效果，越来越多的乳腺癌病人可以在术后保持形体的完整与美观，如何在乳房重建手术中更好地保护NAC成为乳腺外科医生关注的焦点之一。术者应具有强烈的NAC保护意识，精细掌握NAC后方乳管及血供特点，合理设计手术切口，尽可能降低术后乳头缺血、坏死等并发症的发生率。

关键词: 乳腺癌, 乳房重建, 乳头乳晕复合体