Department of Plastic and Reconstructive Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Int J Surg. 2013;11(9):767-72. doi: 10.1016/j.ijsu.2013.06.844. Epub 2013 Jul 8.
Breast reconstruction following mastectomy can be reliably undertaken using many different techniques. Although excellent cosmetic results can be achieved without contralateral balancing surgery, many unilateral breast reconstructions require a balancing procedure on the contralateral breast in order to achieve symmetry; the ultimate goal in breast reconstruction. This article attempts to summarise the existing literature on the plastic surgical management of the contralateral breast. It also outlines the multifactorial and complex issues involved in the planning and undertaking of such surgery with illustrative examples. The implications for future oncological management and radiological surveillance following the procedure are also discussed in brief.
乳房切除术(mastectomy)后可采用多种不同技术可靠地进行乳房重建(breast reconstruction)。虽然无需对侧平衡手术(contralateral balancing surgery)也能获得极佳的美容效果,但许多单侧乳房重建(unilateral breast reconstruction)需要对侧乳房(contralateral breast)进行平衡手术,以实现对称(symmetry);而对称是乳房重建的最终目标。本文试图总结现有文献中关于对侧乳房的整形手术管理(plastic surgical management)。文中还通过实例说明了该手术规划和实施中涉及的多因素、复杂问题,并简要讨论了该手术对未来肿瘤学管理(oncological management)和影像学监测(radiological surveillance)的影响。