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内镜辅助背阔肌肌皮瓣乳房重建手术

[Breast reconstruction surgery with endoscopic assisted latissimus dorsi muscle flap].

作者信息

Bognár Gábor, Novák András, Ledniczky György, István Gábor

机构信息

II. Sz. Sebészeti Klinika, Semmelweis Egyetem 1125 Budapest, Kútvölgyi út 4.

出版信息

Magy Seb. 2017 Jun;70(2):147-150. doi: 10.1556/1046.70.2017.2.7.

Abstract

The results obtaining with breast reconstruction surgery are not always satisfactory for the patients. Reconstruction with pure latissimus dorsi flap is useful option and due to endoscopic harvest large scar on the back can be avoided. The skin sparing mastectomy and even the sentinel lymph node biopsy or lymphadenectomy can be performed using a single incision in the axilla. Also the immediate reconstruction with endoscopically assisted harvest of the latissimus dorsi muscle flap in selective cases can be done using the same incision. The patient reported high satisfaction with the aesthetic and functional results due to preservation the breast shape and the absence of any scarring on the back.

摘要

乳房重建手术的结果对患者而言并非总是令人满意。单纯背阔肌肌皮瓣重建是一种有效的选择,并且由于采用内镜获取技术,可以避免背部留下大的瘢痕。保留皮肤的乳房切除术甚至前哨淋巴结活检或淋巴结清扫术都可以通过腋窝的单一切口进行。在选择性病例中,使用相同的切口也可以进行内镜辅助获取背阔肌肌皮瓣的即刻重建。患者对美学和功能结果高度满意,因为保留了乳房外形且背部没有任何瘢痕。

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