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[内镜下良性乳腺肿块切除术及乳腺癌保乳手术的实施与发展]

[Implementation and development of endoscopic benign breast lump resection and breast-conserving surgery for cancer].

作者信息

Wang Xuliren, Xiong Min, Shao Zhibo, Xiu Bingqiu, Wu Jiong, Yang Benlong

机构信息

Department of Breast Surgery, Fudan University Shanghai Cancer Center, Shanghai, 200032, P. R. China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2024 Jul 15;38(7):776-780. doi: 10.7507/1002-1892.202403050.

Abstract

OBJECTIVE

To review the development of endoscopic techniques in breast surgery, focusing on their use in benign breast lump resection and breast-conserving surgery for cancer, and also summarize the development and application of these techniques in China, highlighting promotion and homogenization challenges and future directions.

METHODS

A systematic review of relevant literature was conducted to trace the historical evolution, clinical applications, and related research of endoscopic techniques in breast surgery, emphasizing their advantages and disadvantages of endoscopic benign breast lump resection and breast-conserving surgery for cancer.

RESULTS

Endoscopic benign breast lump resection and breast-conserving surgery for cancer have improved patients' postoperative psychological health and quality of life, particularly in scar-free surgery. However, challenges such as limited intraoperative visibility and prolonged surgery time lead to controversy in clinical practice.

CONCLUSION

Despite significant advancements, endoscopic techniques in breast surgery also face challenges. Future efforts should focus on technological improvements and clinical research to address these issues, promoting widespread application and standardization. The key to future development lies in the promotion and homogenization of these technologies.

摘要

目的

回顾乳腺外科内镜技术的发展,重点关注其在乳腺良性肿块切除及乳腺癌保乳手术中的应用,并总结这些技术在中国的发展与应用情况,突出推广及同质化面临的挑战和未来方向。

方法

对相关文献进行系统综述,以追溯乳腺外科内镜技术的历史演变、临床应用及相关研究,着重阐述内镜下乳腺良性肿块切除及乳腺癌保乳手术的优缺点。

结果

内镜下乳腺良性肿块切除及乳腺癌保乳手术改善了患者术后的心理健康和生活质量,尤其是在无痕手术方面。然而,诸如术中视野受限和手术时间延长等挑战导致临床实践中存在争议。

结论

尽管取得了显著进展,但乳腺外科内镜技术也面临挑战。未来应致力于技术改进和临床研究以解决这些问题,促进其广泛应用和标准化。未来发展的关键在于这些技术的推广和同质化。

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