摘要
目的探讨腔镜辅助乳房皮下切除假体植入一期乳房重建的方法和效果。方法21例患者中,乳腺癌8例,良性乳腺病13例。乳腺癌患者先按保乳手术的原则行肿瘤局部扩大切除后行前哨淋巴结活检以及腔镜辅助下行皮下腺体切除。良性疾病在腔镜辅助下完成乳房皮下腺体组织的切除。腺体切除后在胸大肌后间隙植入假体。结果21例患者共行皮下腺体切除假体植入重建乳房29侧。2例放疗患者曾出现皮肤色素沉着,3个月后逐渐恢复,放疗后重建乳房外形及质地均未受到明显影响。乳腺癌术后在随访期内均未出现复发转移。除1例乳腺癌因放植假体较小对称性欠佳外,其余病例在3个月后乳房形态更加逼真,美容效果满意。结论腔镜辅助乳房皮下切除假体植入一期乳房重建对于符合保乳条件的较早期乳腺癌和部分需要行乳房切除的良性疾病是安全可行且美容效果较好的一种手术方法。
Objective To explore the method and cosmetic results of video-assisted subcutaneous mastectomy and immediate reconstruction with prothesis. Methods Of 21 patients, 8 cases were breast cancer and 13 cases were benign breast diseases. Eight cases of breast cancer underwent lumpectomy and the sentinel lymph node according to the principle of breast conserving therapy. The endoscopic instruments were used to simplify operation especially in the inner part of the breast. Video-assisted subcutaneous mastectomy method was used directly in the benign breast diseases. Prothesis was implanted under ectopectoralis. Results Eight cases of breast cancer underwent single lateral operation and 13 cases of benign diseases received bilateral operation. Skin pigmentation were seen in 2 cases breast cancer after radiotherapy and then faded in 3 months. The shape and tensity of breast were not changed apparently by radiotherapy. The relapse and metastasis were not found in the breast cancer during the follow-up period. The symmetry in one patient was not enough well owing to the smaller prothesis. The other cases were satisfied with the symmetry, shape, tensity and cosmetic resuh. Conclusion The video-assisted subcutaneous mastectomy and immediate reconstruction with prothesis is a safe, feasible, and better-cosmetic-result-obtained operation method for earlier breast cancer suitable for breast conserving therapy and for partial mastectomy to benign breast diseases.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2007年第16期1627-1629,共3页
Journal of Third Military Medical University
关键词
腔镜辅助
皮下切除
重建
乳房
video-assisted
subcutaneous mastectomy
reconstruction
breasts
