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乳腺外科:乳腺癌术后并发症的处理。

Breast Surgery: Management of Postoperative Complications Following Operations for Breast Cancer.

机构信息

Department of General Surgery, Digestive Diseases and Surgery Institute, Cleveland Clinic, 9500 Euclid Avenue /A80, Cleveland, OH 44195, USA.

Department of General Surgery, Digestive Diseases and Surgery Institute, Cleveland Clinic, 9500 Euclid Avenue /A80, Cleveland, OH 44195, USA.

出版信息

Surg Clin North Am. 2021 Oct;101(5):845-863. doi: 10.1016/j.suc.2021.06.014. Epub 2021 Aug 7.

Abstract

Breast cancer surgery is associated with low rates of surgical morbidity. Postoperative complications related to breast surgery include seroma, infection, hematoma, mastectomy flap necrosis, wound dehiscence, persistent postsurgical pain, Mondor disease, fat necrosis, reduced tactile sensation after mastectomy, and venous thromboembolism. Postoperative complications related to axillary surgery include seroma, infection, lymphedema, nerve injury, and reduced shoulder/arm mobility. The overall rate of complication related to axilla surgery may be confounded by the type of breast surgery performed. The management of postoperative complications related to oncologic breast and axillary surgery independent of reconstruction is reviewed here.

摘要

乳腺癌手术相关的手术发病率较低。与乳房手术相关的术后并发症包括血清肿、感染、血肿、乳房皮瓣坏死、伤口裂开、持续性术后疼痛、Mondor 病、脂肪坏死、乳房切除术后触觉减退和静脉血栓栓塞。与腋窝手术相关的术后并发症包括血清肿、感染、淋巴水肿、神经损伤和肩部/手臂活动受限。腋窝手术相关并发症的总体发生率可能因所行乳房手术类型而混杂。本文回顾了独立于重建的乳腺癌和腋窝手术相关的术后并发症的处理。

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