摘要
伴随综合诊治水平的不断提高,乳腺癌总体预后得到改善,追求最大获益和最小伤害的宏观理念在临床获得广泛认同。在外科领域中,各种乳腺癌相关的手术技术正在不断得到规范;伴随能量外科手术设备普遍应用于临床实践,腔镜技术也正在受到乳腺外科医生的高度关注;同时,近年来不同材质、具有良好组织相容性的修复材料研发成功并进入临床,引发了乳腺肿瘤外科医生与整形科医生对乳腺癌术后乳房重建方式合理性与技术规范化的思考,促进和推动了多学科合作的进程。面对诸多全新的理念,乳腺外科医生应该避免盲从,科学理解乳腺癌诊治的宏观原则。努力将肿瘤安全性优先的肿瘤外科基本理念贯彻到临床实践。
Thanks to the improvement of multi-disciplinary treatment, patients with breast cancer have better prognosis than those in the past. The goal of tumor treatment is to achieve best oncological outcome and minimize harm, which has been widely recognized in clinical practice. Various of breast surgical techniques have been constantly standardized in breast surgery recent years. With the increasing application of surgical energy equipment, laparoscopic techniques get much attention from surgeons. Moreover, the widespread use of materials with good biocompatibility in surgery, gives rise to the thinking for both the indications and standardized procedures of breast reconstruction, which in a result promotes the process of muhidisciplinary collaboration. However, breast surgeons should adhere to the principle of cancer treatment and not be obedient to new techniques unconditionally. En bloc resection is the priority of tumor surgeries that all surgeons should always keep in mind.
作者
刘荫华
辛灵
向泓雨
LIU Yin-hua;X;XIANG Hong-yu(Breast Disease Center,Peking University First Hospital,Beijing 100034,China)
出处
《中国实用外科杂志》
CSCD
北大核心
2018年第11期1217-1221,共5页
Chinese Journal of Practical Surgery
关键词
乳腺癌
手术
综合治疗
腔镜
乳房重建
breast cancer
surgery
muhi-disciplinary treatment
laparoseope
breast reconstruction
