Abstract: Total sub-pectoral implant-based breast reconstruction is a classic breast reconstruction technique. Compared with the pre-pectoral plane, sub-pectoral implant-based breast reconstruction has a wide range of applications and simpler operations. With the application of endoscopic breast surgery, endoscopic total sub-pectoral implant-based breast reconstruction is developing gradually. The selection of indications and the key technical points and surgery procedures need to be further standardized. If the prosthesis is large or the healthy side breast sag is too large, biplanar reconstruction combined with mesh can also be considered.

Key words: breast cancer, breast reconstruction, endoscopic techniques, implant

摘要： 全胸肌后假体乳房重建术是经典的乳房重建技术，相较于胸肌前平面，胸肌后假体乳房重建术适用范围广、手术操作较简单。随着腔镜乳腺手术的应用，腔镜全胸肌后假体乳房重建术逐渐发展，其适应证的选择和手术的关键技术要点、操作步骤还需进一步规范。若假体较大或健侧乳房垂度过大，还可选择双平面重建联合补片。

关键词: 乳腺癌, 乳房重建术, 腔镜技术, 假体植入