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乳房重建:肿瘤整形手术方法

Breast Reconstruction: The Oncoplastic Approach.

作者信息

Vindigni Vincenzo, Marena Francesco, Zanettin Chiara, Bassetto Franco

机构信息

Unit of Plastic and Reconstructive Surgery, University of Padova, Via Giustiniani 2, 35128 Padova, Italy.

出版信息

J Clin Med. 2024 Aug 12;13(16):4718. doi: 10.3390/jcm13164718.

DOI:10.3390/jcm13164718
PMID:39200860
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11355501/
Abstract

Breast reconstruction surgery is continualladvancing, significantly enhancing patient well-being. Current surgical techniques prioritize minimizing donor site morbidity while achieving a more natural breast appearance. Increasing patient preferences for avoiding prosthetic materials in reconstruction, along with advancements in oncological safety and heightened aesthetic expectations, are driving the exploration and development of innovative approaches. Today's reconstructive options range from straightforward oncoplastic glandular remodeling to intricate microsurgical procedures. This narrative review, titled "Breast reconstruction: the oncoplastic approach," provides a comprehensive overview of contemporary trends in breast-conserving treatment. It evaluates the indications for these techniques and offers guidance to plastic surgeons in crafting personalized treatment plans. This approach presents a valuable single-stage alternative or adjunct to traditional prosthetic or microsurgical reconstruction methods.

摘要

乳房重建手术在不断进步,显著提高了患者的生活质量。当前的手术技术在实现更自然的乳房外观的同时,优先将供区并发症降至最低。患者越来越倾向于在重建中避免使用假体材料,以及肿瘤学安全性的提高和美学期望的提升,推动了创新方法的探索和发展。如今的重建选择范围从简单的肿瘤整形腺体重塑到复杂的显微外科手术。这篇题为《乳房重建:肿瘤整形方法》的叙述性综述全面概述了保乳治疗的当代趋势。它评估了这些技术的适应症,并为整形外科医生制定个性化治疗方案提供指导。这种方法为传统的假体或显微外科重建方法提供了一种有价值的单阶段替代方案或辅助手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/279a/11355501/a357c6188dca/jcm-13-04718-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/279a/11355501/8c139defad16/jcm-13-04718-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/279a/11355501/ad59378fd5b2/jcm-13-04718-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/279a/11355501/0a135767b252/jcm-13-04718-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/279a/11355501/a357c6188dca/jcm-13-04718-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/279a/11355501/8c139defad16/jcm-13-04718-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/279a/11355501/ad59378fd5b2/jcm-13-04718-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/279a/11355501/0a135767b252/jcm-13-04718-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/279a/11355501/a357c6188dca/jcm-13-04718-g004.jpg

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Editorial: Oncoplastic surgery for breast cancer.社论:乳腺癌的肿瘤整形手术
Front Oncol. 2024 Mar 27;13:1348964. doi: 10.3389/fonc.2023.1348964. eCollection 2023.
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Evolution of breast conserving surgery-current implementation of oncoplastic techniques in breast conserving surgery: a literature review.保乳手术的进展——保乳手术中肿瘤整形技术的当前应用:文献综述
Gland Surg. 2024 Mar 27;13(3):412-425. doi: 10.21037/gs-23-454. Epub 2024 Mar 14.
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Microsurgery in oncoplastic breast reconstruction.肿瘤整形乳房重建中的显微外科手术。
Biomedicines. 2025 May 7;13(5):1131. doi: 10.3390/biomedicines13051131.
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Evaluation of Perforator Fasciocutaneous Flaps for Oncoplastic Immediate Reconstruction Following Breast Conservative Surgery in Lower and Lateral Breast Quadrant Lesions Perforator Fasciocutaneous Flaps for OBCS.乳腺下外侧象限病变保乳手术后应用穿支筋膜皮瓣进行肿瘤整形即刻重建的评估 用于保乳手术的穿支筋膜皮瓣
Eur J Breast Health. 2025 Jun 20;21(3):265-273. doi: 10.4274/ejbh.galenos.2025.2025-3-2. Epub 2025 May 27.
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Lateral Intercostal Artery Perforator Flap for Enhanced Aesthetic Outcomes in Breast-Conserving Surgery.肋间外侧动脉穿支皮瓣用于保乳手术中改善美学效果
Cureus. 2025 Apr 16;17(4):e82354. doi: 10.7759/cureus.82354. eCollection 2025 Apr.
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Application of pectoralis major fascia in retropectoral breast reconstruction: the five-step method.胸大肌筋膜在胸后乳房重建中的应用:五步方法
Gland Surg. 2025 Mar 31;14(3):520-528. doi: 10.21037/gs-24-463. Epub 2025 Mar 26.
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Personalizing Breast Cancer Surgery: Harnessing the Power of ROME (Radiological and Oncoplastic Multidisciplinary Evaluation).个性化乳腺癌手术:利用ROME(放射学与肿瘤整形多学科评估)的力量
J Pers Med. 2025 Mar 14;15(3):114. doi: 10.3390/jpm15030114.
Gland Surg. 2023 Apr 28;12(4):527-534. doi: 10.21037/gs-22-561. Epub 2023 Mar 20.
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J Surg Oncol. 2022 Sep;126(3):450-459. doi: 10.1002/jso.26897. Epub 2022 Apr 22.
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Impact of Body Composition on Postoperative Outcomes in Patients Undergoing Robotic Nipple-Sparing Mastectomy with Immediate Breast Reconstruction.体成分对接受机器人保乳术即刻乳房重建术患者术后结局的影响。
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