Gunnarsson Gudjon Leifur, Heidemann Lene Nyhøj, Bille Camilla, Sørensen Jens Ahm, Thomsen Jørn Bo
Department of Plastic Surgery, Telemark Hospital, Skien, Norway.
Department of Plastic Surgery, Odense University Hospital, Odense, Denmark.
Gland Surg. 2018 Jun;7(3):267-272. doi: 10.21037/gs.2017.08.06.
In this paper, we describe the evolving use of the nipple-sparing mastectomy (NSM) and direct to implant breast reconstruction according to existing literature and our own experience. The surgical method enables superior aesthetic results resembling that of a natural breast while maintaining oncologic safety. Acellular dermal matrix enables direct to implant breast reconstruction by serving as a hammock and can be used with acceptable rates of complications. A successful nipple-sparing mastectomy and direct to implant breast reconstruction approach with acceptable postoperative complication rates relies upon quality of the mastectomy skin flaps and correct patient selection. The surgical method has developed with a rapid pace and expected to evolve further in terms of technical modalities, safety measure and lasting results.
在本文中，我们根据现有文献和我们自己的经验，描述了保留乳头的乳房切除术（NSM）和直接植入式乳房重建术的不断发展的应用。该手术方法在保持肿瘤安全性的同时，能产生类似自然乳房的卓越美学效果。脱细胞真皮基质作为一个吊床，可实现直接植入式乳房重建，且并发症发生率可接受。成功的保留乳头乳房切除术和直接植入式乳房重建方法，且术后并发症发生率可接受，依赖于乳房切除皮瓣的质量和正确的患者选择。该手术方法发展迅速，预计在技术模式、安全措施和持久效果方面会进一步发展。
