显微外科乳房重建术

Microsurgical Breast Reconstruction.

作者信息

Moltaji Syena, Selber Jesse C, Chaiyasate Kongkrit, Lipa Joan E

机构信息

University Health Network, Toronto, Ontario, Canada; Division of Plastic Reconstructive & Aesthetic Surgery, Department of Surgery, Temerty Faculty of Medicine, University of Toronto.

Corewell Health East, Royal Oak, MI, USA; Division of Plastic Surgery, Corewell Health William Beaumont University Hospital, Royal Oak, MI, USA.

出版信息

Clin Plast Surg. 2026 Jan;53(1):121-134. doi: 10.1016/j.cps.2025.08.004.

DOI:10.1016/j.cps.2025.08.004

PMID:41265954

Abstract

This article reviews the approach to microsurgical breast reconstruction. Innovations including the role of indocyanine green angiography, resensation, adapting techniques for safe outcomes in an obese patient population, robotic deep inferior epigastric perforator, and prophylactic lymphovenous bypass are highlighted. Recipient vessel considerations and troubleshooting are reviewed, in addition to first-line and alternative flap options and their characteristics. Emphasis is placed on practical elements of flap selection and surgical technique.

摘要

本文综述了显微外科乳房重建的方法。重点介绍了包括吲哚菁绿血管造影术的作用、感觉恢复、针对肥胖患者群体采用安全手术结果的技术调整、机器人辅助的腹壁下深动脉穿支皮瓣以及预防性淋巴静脉搭桥术等创新技术。除了一线和替代皮瓣选择及其特点外，还综述了受区血管的考虑因素和故障排除方法。重点放在皮瓣选择和手术技术的实际要点上。