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内镜辅助乳房重建手术的改良：保留乳头的乳房切除术及通过单一腋窝切口采用背阔肌肌皮瓣/背阔肌肌皮瓣加假体进行即刻重建。

Subversion of Endoscopic Breast Reconstruction Surgery: Nipple-sparing Mastectomy and Immediate Reconstruction with a Latissimus Dorsi Flap/Latissimus Dorsi Flap and Implant Through a Single Axillary Incision.

作者信息

Liang Faqing, Wen Nan, Xie Yanyan, Wang Yao, Zhang Songbo, Lv Qing, Du Zhenggui

机构信息

From the Department of Breast Surgery, West China Hospital, Sichuan University, Chengdu, China.

出版信息

Ann Surg Open. 2021 Aug 5;2(3):e082. doi: 10.1097/AS9.0000000000000082. eCollection 2021 Sep.

DOI:10.1097/AS9.0000000000000082
PMID:37635818
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10455204/
Abstract

Our team has created a novel endoscopic technique (ET) to solve the problems of the former minimally invasive surgery (Inconvenient operation for ET, high cost for robotic technique, long-operation time for both) for breast cancer patients requiring nipple-sparing mastectomy and immediate breast reconstruction (BR) with a latissimus dorsi flap/latissimus dorsi flap and implant. This easy-to-grasp method will benefit more patients.

摘要

我们的团队开发了一种新型内镜技术（ET），以解决前者微创手术（ET操作不便，机器人技术成本高，两者手术时间长）对于需要保留乳头的乳房切除术并使用背阔肌皮瓣/背阔肌皮瓣和植入物进行即刻乳房重建（BR）的乳腺癌患者所存在的问题。这种易于掌握的方法将使更多患者受益。

相似文献

1
Subversion of Endoscopic Breast Reconstruction Surgery: Nipple-sparing Mastectomy and Immediate Reconstruction with a Latissimus Dorsi Flap/Latissimus Dorsi Flap and Implant Through a Single Axillary Incision.内镜辅助乳房重建手术的改良：保留乳头的乳房切除术及通过单一腋窝切口采用背阔肌肌皮瓣/背阔肌肌皮瓣加假体进行即刻重建。
Ann Surg Open. 2021 Aug 5;2(3):e082. doi: 10.1097/AS9.0000000000000082. eCollection 2021 Sep.
2
Novel technique for endoscopic-assisted nipple-sparing mastectomy and immediate breast reconstruction with endoscopic-assisted latissimus dorsi muscle flap harvest through a single axillary incision: a retrospective cohort study of comparing endoscopic and open surgery.通过单一腋窝切口采用内镜辅助保留乳头乳房切除术及内镜辅助背阔肌肌皮瓣切取进行即刻乳房重建的新技术：一项比较内镜手术与开放手术的回顾性队列研究
Gland Surg. 2022 Aug;11(8):1383-1394. doi: 10.21037/gs-22-398.
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Immediate breast reconstruction with a myocutaneous latissimus dorsi flap and implant following skin-sparing salvage mastectomy after irradiation as part of breast-conserving therapy.保乳治疗中，在接受放疗后的保皮乳房切除术之后，即刻用带蒂背阔肌肌皮瓣和植入物进行乳房再造。
J Plast Reconstr Aesthet Surg. 2016 Aug;69(8):1080-6. doi: 10.1016/j.bjps.2016.01.018. Epub 2016 Feb 11.
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The Clinical Application of Mastectomy With Single Incision Followed by Immediate Laparoscopic-Assisted Breast Reconstruction With Latissimus Dorsi Muscle Flap.单切口乳房切除术联合腹腔镜辅助背阔肌肌皮瓣即刻乳房重建的临床应用
Surg Innov. 2017 Aug;24(4):349-352. doi: 10.1177/1553350617702309. Epub 2017 Apr 11.
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J Egypt Natl Canc Inst. 2006 Jun;18(2):134-40.
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Can nipple-sparing mastectomy and immediate breast reconstruction with modified extended latissimus dorsi muscular flap improve the cosmetic and functional outcome among patients with breast carcinoma?保留乳头的乳房切除术及采用改良背阔肌肌皮瓣即刻乳房重建术能否改善乳腺癌患者的美观及功能预后？
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Robotic-assisted skin sparing mastectomy and immediate reconstruction using latissimus dorsi flap a new effective and safe technique: A comparative study.机器人辅助保留皮肤的乳房切除术和即时使用背阔肌皮瓣重建：一种新的有效且安全的技术：一项对比研究。
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Front Oncol. 2021 Nov 4;11:598604. doi: 10.3389/fonc.2021.598604. eCollection 2021.
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Skin-sparing mastectomy with immediate breast reconstruction by a new modification of extended latissimus dorsi myocutaneous flap.采用改良的背阔肌肌皮瓣进行即刻乳房重建的保乳皮肤切除术。
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引用本文的文献

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Front Oncol. 2024 Sep 30;14:1462850. doi: 10.3389/fonc.2024.1462850. eCollection 2024.
2
Endoscopic Nipple- or Skin-Sparing Mastectomy and Immediate Breast Reconstruction with Endoscopic Harvesting of the Latissimus Dorsi Flap: A Preliminary Experience of an Innovative Technique.内镜辅助保留乳头或皮肤的乳房切除术和即时背阔肌皮瓣内镜游离乳房重建：一项创新技术的初步经验。
Breast J. 2022 Oct 27;2022:1373899. doi: 10.1155/2022/1373899. eCollection 2022.

本文引用的文献

1
Robotic- Versus Endoscopic-Assisted Nipple-Sparing Mastectomy with Immediate Prosthesis Breast Reconstruction in the Management of Breast Cancer: A Case-Control Comparison Study with Analysis of Clinical Outcomes, Learning Curve, Patient-Reported Aesthetic Results, and Medical Cost.机器人辅助与内镜辅助保乳手术即刻假体乳房重建治疗乳腺癌：一项病例对照比较研究，分析临床结局、学习曲线、患者报告的美学结果和医疗成本。
Ann Surg Oncol. 2020 Jul;27(7):2255-2268. doi: 10.1245/s10434-020-08223-0. Epub 2020 Feb 3.
2
Robotic nipple sparing mastectomy and immediate breast reconstruction with robotic latissimus dorsi flap harvest - Technique and preliminary results.机器人保乳乳房切除术及同期背阔肌肌皮瓣乳房重建术——技术与初步结果
J Plast Reconstr Aesthet Surg. 2018 Oct;71(10):e59-e61. doi: 10.1016/j.bjps.2018.07.006. Epub 2018 Aug 2.
3
Robotic Nipple-sparing Mastectomy and Immediate Breast Reconstruction With Implant: First Report of Surgical Technique.机器人保留乳头乳房切除术及即刻乳房假体重建：手术技术的首次报告
Ann Surg. 2017 Aug;266(2):e28-e30. doi: 10.1097/SLA.0000000000001397.
4
Present status of endoscopic mastectomy for breast cancer.乳腺癌内镜下乳房切除术的现状
World J Clin Oncol. 2015 Jun 10;6(3):25-9. doi: 10.5306/wjco.v6.i3.25.
5
Immediate partial breast reconstruction with endoscopic latissimus dorsi muscle flap harvest.采用内镜背阔肌肌皮瓣切取术进行即刻部分乳房重建。
Arch Plast Surg. 2014 Sep;41(5):513-9. doi: 10.5999/aps.2014.41.5.513. Epub 2014 Sep 15.
6
Endoscopic latissimus dorsi muscle flap for breast reconstruction after skin-sparing total mastectomy: report of 14 cases.内镜下背阔肌肌皮瓣游离移植在保留皮肤的乳腺癌根治术后乳房再造中的应用（附 14 例报告）
Aesthetic Plast Surg. 2013 Aug;37(4):719-27. doi: 10.1007/s00266-013-0131-3. Epub 2013 May 9.
7
Robotic latissimus dorsi muscle harvest: a case series.机器人辅助背阔肌游离皮瓣切取术：病例系列报告。
Plast Reconstr Surg. 2012 Jun;129(6):1305-1312. doi: 10.1097/PRS.0b013e31824ecc0b.
8
Endoscopic breast surgery: where are we now and what might the future hold for video-assisted breast surgery?内镜乳腺手术：目前的现状如何，视频辅助乳腺手术的未来前景如何？
Breast Cancer Res Treat. 2011 Feb;125(3):607-25. doi: 10.1007/s10549-010-1258-4. Epub 2010 Dec 3.