Yang Jung Dug, Lee Jeeyeon, Lee Joon Seok, Kim Eun Kyu, Park Chan Sub, Park Ho Yong
Department of Plastic and Reconstructive Surgery, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu, Korea.
Department of Surgery, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu, Korea.
J Breast Cancer. 2021 Feb;24(1):22-33. doi: 10.4048/jbc.2021.24.e11.
Surgical approaches in breast cancer have been changing to ensure both oncologic safety and cosmetic results. Although the concept of "oncoplastic breast surgery" has been accepted for decades, breast and plastic surgeons have been striving to develop more advanced surgical skills that ensure non-inferior oncologic outcomes with better cosmetic outcomes. Endoscopic or robotic devices, which are currently available only for chest or abdominal surgeries, could be used for breast surgery to ensure better cosmetic outcomes. The authors refer to this surgical concept as "aesthetic scar-less breast surgery and reconstruction," a term that encompasses the consequential concepts rather than naming it with simple technical words such as endoscopy-assisted or robot-assisted surgery. The "scar-less" term simply means leaving less of a scar, and better results can be expected by designing incisions on invisible areas. Herein, we summarize our experiences with various techniques of "aesthetic scar-less" surgery and review the existing literature on this topic.
乳腺癌的手术方式一直在不断变化，以确保肿瘤学安全性和美容效果。尽管“肿瘤整形乳房手术”的概念已被接受数十年，但乳腺外科医生和整形外科医生一直在努力开发更先进的手术技术，以确保在肿瘤学结果不逊色的情况下获得更好的美容效果。目前仅用于胸部或腹部手术的内镜或机器人设备可用于乳房手术，以确保更好的美容效果。作者将这种手术概念称为“美学无痕乳房手术与重建”，这个术语涵盖了相关概念，而不是用诸如内镜辅助或机器人辅助手术等简单的技术词汇来命名。“无痕”一词仅仅意味着留下更少的疤痕，通过在隐蔽区域设计切口可以预期获得更好的效果。在此，我们总结了我们在各种“美学无痕”手术技术方面的经验，并回顾了关于该主题的现有文献。
