Roxo Ana Claudia Weck, Marques Ruy Garcia, De Castro Claudio Cardoso, Aboudib Jose Horácio
From Rio de Janeiro State University in Brazil.
Aesthet Surg J. 2015 Mar;35(3):265-72. doi: 10.1093/asj/sju076.
Breast augmentation through incisions in the axillae is an option for patients who wish to avoid scars on the breasts. The axillary approach also preserves the mammary parenchyma and lactiferous ducts. The utility of video-assisted endoscopy during this procedure as a means to improve safety and aesthetic outcomes remains debatable.
The authors compared outcomes of transaxillary breast augmentation with and without video-assisted endoscopy.
Thirty-four women who underwent transaxillary breast augmentation with or without video-assisted endoscopy were evaluated in a prospective, randomized study. Patients received high-profile silicone implants in the subglandular plane and were monitored for an average of 25 months. Operating time, complication rates, postoperative pain, patient satisfaction, and aesthetic parameters were evaluated.
Operative time were significantly longer for patients who underwent transaxillary breast augmentation with video-assisted endoscopy compared with patients who underwent nonendoscopic surgery.
Video-assisted endoscopy increased operating time but did not improve the safety of transaxillary breast augmentation or yield better aesthetic outcomes.
3 Therapeutic.
对于希望避免乳房留下疤痕的患者，经腋窝切口进行隆胸是一种选择。腋窝入路还能保留乳腺实质和输乳管。在此手术过程中，视频辅助内窥镜检查作为提高安全性和美学效果的一种手段，其效用仍存在争议。
作者比较了有或没有视频辅助内窥镜检查的经腋窝隆胸的效果。
在一项前瞻性随机研究中，对34例行有或没有视频辅助内窥镜检查的经腋窝隆胸的女性进行了评估。患者在乳腺下平面植入高凸度硅胶假体，并平均监测25个月。评估手术时间、并发症发生率、术后疼痛、患者满意度和美学参数。
与接受非内窥镜手术的患者相比，接受视频辅助内窥镜检查的经腋窝隆胸患者的手术时间明显更长。
视频辅助内窥镜检查增加了手术时间，但并未提高经腋窝隆胸的安全性，也未产生更好的美学效果。
3级治疗性。
