Shen Guangtai, Yu Xiaoqiang
Department of Breast Surgery, Inner Mongolia Xing'an League People's Hospital, Ulanhot, Inner Mongolia 137400, P.R. China.
Oncol Lett. 2019 Jul;18(1):645-650. doi: 10.3892/ol.2019.10339. Epub 2019 May 8.
Application value of laparoscopy in radical mastectomy and omental breast reconstruction was explored. The medical records of 104 patients undergoing radical mastectomy and omental breast reconstruction from July 2015 to August 2017 in Inner Mongolia Xing'an League People's Hospital were retrospectively analyzed. Fifty-three patients undergoing laparoscopic surgery were the experimental group and 51 patients undergoing open surgery were the control group. The surgery conditions, upper limb function, postoperative complications, volume similarity between unilateral subcutaneous glands and autologous omentum, cosmetic excellent rate and treatment satisfaction were observed. The surgical duration of the patients in the experimental group was significantly longer than that in the control group, but the intraoperative blood loss was less and hospital stay was significantly shorter than that in the control group (P<0.05). The improvement of upper limb function in the experimental group was significantly better than that in the control group (P<0.05). The cosmetic excellent rate in the experimental group was significantly higher than that in the control group (P<0.001). The incidence of postoperative complications in the experimental group was significantly less than that in the control group (P<0.001). The satisfaction degree of patients in the experimental group was significantly higher than that in the control group (P<0.001). Filling the autologous omentum while excising the unilateral mammary gland is an equivalent replacement, which can make the appearance of the breast on the operation side similar to that on the healthy side, thus improving the excellent rate of breast beauty and patient satisfaction.
探讨腹腔镜技术在乳腺癌根治术及大网膜乳房再造术中的应用价值。回顾性分析2015年7月至2017年8月在内蒙古兴安盟人民医院行乳腺癌根治术及大网膜乳房再造术的104例患者的病历资料。其中53例行腹腔镜手术的患者为试验组，51例行开放手术的患者为对照组。观察两组患者的手术情况、上肢功能、术后并发症、患侧皮下腺体与自体大网膜体积相似度、美容优良率及治疗满意度。试验组患者手术时间明显长于对照组，但术中出血量少，住院时间明显短于对照组（P<0.05）。试验组患者上肢功能改善情况明显优于对照组（P<0.05）。试验组美容优良率明显高于对照组（P<0.001）。试验组术后并发症发生率明显低于对照组（P<0.001）。试验组患者满意度明显高于对照组（P<0.001）。切除患侧乳腺的同时填充自体大网膜是一种等效替代，可使术侧乳房外观与健侧相似，从而提高乳房美容优良率及患者满意度。
