摘要
微创技术是近年外科治疗的重大进展。在乳腺癌治疗领域,微创手术仅需在腋窝等隐蔽位置做一个小切口,避免了乳房表面瘢痕,改善了术后美观度和患者满意度。随着乳腺癌微创手术的发展,多家医疗中心创立了各具特色的乳腺癌微创手术技术。层面外科膜解剖理论使腔镜乳房重建术后外观更为自然,逆序建腔法极大地优化了腔镜乳房切除手术流程,腔镜下术中导航保留乳房手术能够精确定位切缘,冷刀法皮瓣分离技术能够减少手术时间及避免皮瓣损伤。乳腺微创手术领域特色技术不断涌现,将推动我国乳腺癌微创手术进一步推广。
Minimal access breast surgery with the assistance of an endoscopy or robot has been an important advancement in surgical treatment in recent years.Compared to conventional open surgery,minimal access breast surgery only requires small incisions in concealed areas such as axillary fossa,avoiding visible scars on the surface of the breast,significantly improving the postoperative aesthetic appearance and patient satisfaction.With the rapid development of minimal access breast surgery,several institutions have established their own distinctive techniques.The concept of membrane anatomy in the breast,for example,has led to more natural-looking breast reconstruction following endoscopic procedures.The adoption of the reverse space dissection technique has greatly optimized the workflow of endoscopic breast cancer resection.Intraoperative navigation system for endoscopic breast-conserving surgery could allow precise localization of excision margins.Furthermore,the widespread use of the cold dissection technique for flap separation has reduced surgical duration and minimized flap damage.The emergence of unique techniques in the field of minimal access breast surgery promises to further advance and promote the adoption of minimal access breast surgery in China.
作者
刘晨璐
陆艺文
刘志瀚
欧欣瑜
苏士成
Liu Chenlu;Lu Yiwen;Liu Zhihan;Ou Xinyu;Su Shicheng(Breast Tumor Center,Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University,Guangzhou 510120,China)
出处
《中华外科杂志》
CAS
CSCD
北大核心
2024年第2期99-103,共5页
Chinese Journal of Surgery
基金
国家重点研发计划(2021YFA1300502)
国家自然科学基金(92057210,82125017,91942309,82002780)
广州市科技计划(202103000070,202201020479)
腾讯基金会科学探索奖。
关键词
乳腺肿瘤
外科手术
微创性
乳腺微创手术
微创特色技术
腔镜保乳术中导航
冷刀法皮瓣分离
Breast neoplasms
Surgical procedures,minimally invasive
Minimal access breast surgery
Minimal access characteristic technology
Intra-operative navigation system-assisted endoscopic breast-conserving surgery
Cold dissection
