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

摘要： 随着腔镜技术的普及和补片材料的应用，切口裂开、切口感染、包膜挛缩等胸肌前假体乳房重建术后并发症逐渐减少，胸肌前假体乳房重建术逐渐被临床医生重新认识。相比于胸肌前假体乳房重建术，胸肌后假体乳房重建术的缺陷日渐凸显，包括术后疼痛、胸大肌功能减退、运动畸形，以及放疗后可能引发的乳房变形、乳头乳晕复合体上移等问题，显著影响病人的生活质量。胸肌前假体乳房重建术的应用需要综合考虑皮褶厚度、病人对外观和触感的要求以及补片材料的可用性等因素。

关键词: 腔镜手术, 乳腺癌, 胸肌前假体乳房重建