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如何优化基于植入物的乳房重建的美学效果。

How to optimize aesthetic outcomes in implant-based breast reconstruction.

作者信息

Nava Maurizio Bruno, Catanuto Giuseppe, Rocco Nicola

机构信息

Department of Surgery, Valduce Hospital, Como, Italy.

Department of Plastic Surgery, University of Milan, Milan, Italy.

出版信息

Arch Plast Surg. 2018 Jan;45(1):4-13. doi: 10.5999/aps.2017.00528. Epub 2018 Jan 10.

DOI:10.5999/aps.2017.00528
PMID:29316774
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5784376/
Abstract

The evolution of breast reconstructive surgery keeps pace with the evolution of breast oncologic surgery. The reconstructive choice should always balance the optimal local control of disease and the best cosmetic result, reflecting an informed decision that is shared with the patient, who is always at the center of the decision-making process. Implant-based breast reconstruction following mastectomy represents a complex choice. In order to obtain optimal results, the following considerations are mandatory: thorough preoperative planning, a complete knowledge of the devices that are used, accurately performed surgery, and appropriate follow-up.

摘要

乳房重建手术的发展与乳房肿瘤手术的发展同步。重建方案的选择应始终在疾病的最佳局部控制和最佳美容效果之间取得平衡,这反映了一个与患者共同做出的明智决定,而患者始终是决策过程的核心。乳房切除术后基于植入物的乳房重建是一个复杂的选择。为了获得最佳效果,必须考虑以下几点:全面的术前规划、对所用设备的充分了解、精确的手术操作以及适当的随访。

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本文引用的文献

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Evolving Trends and Influencing Factors in Mastectomy Decisions.乳房切除术决策中的演变趋势及影响因素
Am Surg. 2017 Mar 1;83(3):233-238.
2
Comparison of immediate breast reconstruction after mastectomy and mastectomy alone for breast cancer: A meta-analysis.乳腺癌乳房切除术后即刻乳房重建与单纯乳房切除术的比较:一项荟萃分析。
Eur J Surg Oncol. 2017 Feb;43(2):285-293. doi: 10.1016/j.ejso.2016.07.006. Epub 2016 Jul 27.
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Formal analysis of the surgical pathway and development of a new software tool to assist surgeons in the decision making in primary breast surgery.
接受 upfront 手术治疗的早期乳腺癌年轻女性:肿瘤学结局概述。 (注:upfront 在这里可能是指“初次的、直接的”等意思,具体准确含义需结合上下文进一步确定)
J Clin Med. 2024 Jul 6;13(13):3966. doi: 10.3390/jcm13133966.
4
Should Acellular Dermal Matrices Be Used for Implant-based Breast Reconstruction after Mastectomy? Clinical Recommendation Based on the GRADE Approach.乳房切除术后基于植入物的乳房重建是否应使用脱细胞真皮基质?基于GRADE方法的临床建议。
Plast Reconstr Surg Glob Open. 2023 Feb 22;11(2):e4821. doi: 10.1097/GOX.0000000000004821. eCollection 2023 Feb.
5
Safety and Quality of Life in Women with Immediate Reconstruction with Polyurethane Implants after Neoadjuvant Chemotherapy: Outcomes from The Preq-20 Trial.新辅助化疗后立即采用聚氨酯植入物进行乳房重建的女性的安全性和生活质量:Preq-20试验的结果
Cancers (Basel). 2023 Feb 9;15(4):1113. doi: 10.3390/cancers15041113.
Breast. 2016 Oct;29:74-81. doi: 10.1016/j.breast.2016.06.004. Epub 2016 Jul 28.
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Different types of implants for reconstructive breast surgery.用于乳房重建手术的不同类型植入物。
Cochrane Database Syst Rev. 2016 May 16;2016(5):CD010895. doi: 10.1002/14651858.CD010895.pub2.
5
Oncologic Safety of Immediate Breast Reconstruction for Invasive Breast Cancer Patients: A Matched Case Control Study.浸润性乳腺癌患者即刻乳房重建的肿瘤学安全性:一项配对病例对照研究。
J Breast Cancer. 2016 Mar;19(1):68-75. doi: 10.4048/jbc.2016.19.1.68. Epub 2016 Mar 25.
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Indocyanine green-based fluorescent angiography in breast reconstruction.基于吲哚菁绿的荧光血管造影术在乳房重建中的应用
Gland Surg. 2016 Apr;5(2):133-49. doi: 10.3978/j.issn.2227-684X.2016.02.01.
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A Prospective and Controlled Clinical Trial on Stromal Vascular Fraction Enriched Fat Grafts in Secondary Breast Reconstruction.一项关于富含基质血管成分脂肪移植用于二期乳房重建的前瞻性对照临床试验。
Stem Cells Int. 2016;2016:2636454. doi: 10.1155/2016/2636454. Epub 2015 Dec 28.
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Implant-based breast reconstruction: Strategies to achieve optimal outcomes and minimize complications.基于植入物的乳房重建:实现最佳效果并将并发症降至最低的策略。
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Gland Surg. 2016 Feb;5(1):69-74. doi: 10.3978/j.issn.2227-684X.2015.05.12.
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