Tamaki Y, Nakano Y, Sekimoto M, Sakita I, Tomita N, Ohue M, Komoike Y, Miyazaki M, Nakayama T, Kadota M, Monden M
Department of Surgery II, Osaka University Medical School, Japan.
Surg Laparosc Endosc. 1998 Aug;8(4):308-12.
For optimal cosmetic results in breast cancer surgery, we developed an alternative operation using endoscopy to remove tumors through a small single incision remote from the breast itself. The tumor is endoscopically resected with electrocautery and low constant suction through a short incision in the axilla, 5 cm long, after which axillary dissection is performed through the same wound in the usual manner, under visualization by the naked eye. Primary reconstruction of the breast is performed with the remaining mammary gland and a subcutaneous fat flap on the serratus muscle. Seven patients underwent this surgery. The postoperative shape of the breasts was judged to be cosmetically satisfactory, and the surgical wounds were not visible from the front in all cases. This operation has the same therapeutic oncological effect as a standard lumpectomy and, in addition, offers a greater cosmetic advantage in cases of early breast cancer.
为了在乳腺癌手术中获得最佳的美容效果，我们开发了一种替代手术，即使用内窥镜通过远离乳房本身的单个小切口切除肿瘤。通过腋窝处一个5厘米长的短切口，在内窥镜下用电灼术和低恒定吸力切除肿瘤，之后以常规方式通过同一伤口进行腋窝清扫，在肉眼可视下进行。用剩余的乳腺组织和前锯肌上的皮下脂肪瓣对乳房进行一期重建。7例患者接受了该手术。术后乳房形状在美容方面被判定为令人满意，所有病例从正面均看不到手术切口。该手术与标准的肿块切除术具有相同的肿瘤治疗效果，此外，在早期乳腺癌病例中具有更大的美容优势。
