Zhu Jianming, Huang Jianping
Department of Surgery, Shuguang Hospital, LuWan District, Shanghai, PR China.
J Laparoendosc Adv Surg Tech A. 2008 Jun;18(3):433-7. doi: 10.1089/lap.2006.0223.
Gynecomastia is an abnormal enlargement of one or both breasts in men. Breast-reduction surgery can help those patients who feel anxious about their abnormal appearance. Surgical treatment of gynecomastia is to excise the excess glandular tissue, which can be performed alone or in conjunction with liposuction. With two successful cases, we proposed that the endoscopic removal of gynecomastia tissue is an innovative, effective surgical treatment.
Through three small incisions along the mid-axillary line, we surgically treated 2 young gynecomastia patients under an endoscope. The man first was 25 years old, with a developed right breast for 3 years, which was grade II, according to Simon's classification. The second patient was 24 and was diagnosed as bilateral gynecomastia of grade I for 10 years.
The endoscopic removal of the glandular tissue was successfully completed. Only minor postoperative complications occurred. Both patients were satisfied with the cosmetic results of the surgery.
Surgical treatment of gynecomastia under an endoscope is a new modality, which presents a satisfactory cosmetic result while leaving minimal and hidden scarring and seldom causes postoperative complications.
男性乳房肥大是指男性一侧或双侧乳房异常增大。乳房缩小手术可以帮助那些对自己异常外观感到焦虑的患者。男性乳房肥大的手术治疗是切除多余的腺体组织，可单独进行或与抽脂术联合进行。通过两个成功案例，我们提出内镜下切除男性乳房肥大组织是一种创新、有效的手术治疗方法。
我们通过沿腋中线的三个小切口，在内镜下对2例年轻男性乳房肥大患者进行了手术治疗。首例患者为25岁男性，右侧乳房发育3年，根据西蒙分类法为II级。第二例患者为24岁，双侧乳房肥大I级已确诊10年。
成功完成了内镜下腺体组织切除术。术后仅出现轻微并发症。两名患者对手术的美容效果均满意。
内镜下男性乳房肥大手术治疗是一种新的术式，在留下最小且隐蔽的瘢痕的同时呈现出令人满意的美容效果，且很少引起术后并发症。
