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手术切割需谨慎:保留神经的成功乳房切除术策略

Careful Where You Cut: Strategies for Successful Nerve-preserving Mastectomy.

作者信息

Coopey Suzanne, Keleher Angela, Daniele Karla, Peled Allen Warren, Gomez Janette, Julian Thomas, Moreira Andrea A

机构信息

From the Department of Surgery, Allegheny Health Network, Pittsburgh, Pa.

USF Department of Surgery/TGH Cancer Institute, Tampa, Fla.

出版信息

Plast Reconstr Surg Glob Open. 2024 May 15;12(5):e5817. doi: 10.1097/GOX.0000000000005817. eCollection 2024 May.

Abstract

Breast neurotization represents an evolving technique that is not widely practiced in most centers specializing in breast cancer treatment. Recognizing the limited educational resources available for breast and plastic surgeons concerning mastectomy techniques that emphasize nerve preservation, our study sought to bridge this gap. Specifically, we aimed to provide a comprehensive exploration of the surgical applied anatomy of breast sensory innervation and a detailed, step-by-step guide for incorporating nerve-sparing mastectomy and breast neurotization into clinical practice. The significance of this work lies in its potential to enhance the understanding and implementation of nerve-preserving techniques in mastectomy procedures, contributing to improved patient outcomes and quality of life post surgery. We hope that by familiarizing breast and reconstructive surgeons with this procedure, we can gain momentum in our research efforts and ultimately enhance the care provided to mastectomy patients.

摘要

乳房神经化是一种不断发展的技术,在大多数专门从事乳腺癌治疗的中心并未广泛应用。认识到乳腺外科医生和整形外科医生在强调保留神经的乳房切除术技术方面可获得的教育资源有限,我们的研究旨在填补这一空白。具体而言,我们旨在全面探索乳房感觉神经支配的手术应用解剖学,并提供一份详细的、逐步的指南,指导如何将保留神经的乳房切除术和乳房神经化纳入临床实践。这项工作的意义在于,它有可能增进对乳房切除术中保留神经技术的理解和应用,有助于改善患者术后的治疗效果和生活质量。我们希望,通过让乳腺外科医生和重建外科医生熟悉这一手术,我们的研究工作能够取得进展,并最终提高为接受乳房切除术患者提供的护理水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c759/11095964/f2617e131077/gox-12-e5817-g001.jpg

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