Kaddoura I L, Khoury G S
American University of Beirut Medical Center, Department of Surgery, Lebanon.
JSLS. 1998 Jan-Mar;2(1):63-5.
Laparoscopic ligation of the deep and superficial inferior epigastric vessels was done for ten mastectomized patients who elected to have autogenous reconstruction of their breast. All these patients had at least one indication for the delay which included obesity, smoking, or requirement of a large volume of tissue for their reconstruction. The procedure did not add any morbidity or mortality to our patients and was found to be comparable to the "open" delay in preventing partial tissue loss in all but two patients. We describe the use of a minimally invasive procedure to augment the deep superior epigastric pedicled blood supply for the future transverse rectus abdominus flap. We have found in laparoscopic delay a safe, short procedure that is useful in high risk patients who choose the option of autologous breast reconstruction.
对十名选择进行自体乳房重建的乳房切除患者实施了腹腔镜下结扎腹壁下深、浅血管手术。所有这些患者都至少有一项延迟手术的指征，包括肥胖、吸烟或重建需要大量组织。该手术未给我们的患者增加任何发病率或死亡率，并且发现除两名患者外，在预防部分组织丢失方面与“开放”延迟手术相当。我们描述了一种微创手术的应用，以增加腹壁上深蒂血管供应，为未来的腹直肌横形肌皮瓣做准备。我们发现腹腔镜延迟手术是一种安全、简短的手术，对选择自体乳房重建的高风险患者有用。
