岭南现代临床外科2025，Vol.25Issue(1)：31-35,5.DOI:10.3969/j.issn.1009-976X.2025.01.006
一种改良拉钩用于悬吊法腔镜下乳房重建的临床分析
A clinical research on endoscopic breast reconstruction with modified retractor
摘要
Abstract
Objective To investigate the clinical application,effect,complication and satisfaction of patients between endoscopic breast reconstruction with suspension and traditional open breast reconstruc-tion.Methods A total of 116 patients undergoing breast reconstruction in the Cancer Hospital of Guang-zhou Medical University from 2019 to 2024 were divided into two groups:suspensory endoscopic breast reconstruction(n=60)and open breast construction(n=56).The general data and surgical incision length,operation duration,surgical blood loss,surgical complications(infection,skin margin necrosis,prosthesis expose,nipple and areola necrosis),and breast satisfaction(BREAST-Q score)were com-pared between the two groups.Results There was no significant difference in the operative time(178.5±18.2 min vs.171.0±40.3 min),blood loss(47.3±13.3 ml vs.44.2±17.7 ml and infection(1.67%vs.5.3%),between the two methods.The length of incision was significantly shorter in suspension versus open breast construction(6.5±0.9 cm vs.12.8±3.7 cm,P<0.05).The patient satisfaction is higher(82.1±2.5 vs.78.4±2.4,P<0.05).Conclusion Endoscopic breast reconstructionwith modified retractor is safe.The surgical incision length is shorter,the incidence of postoperative complications is lower,and the patient satisfaction is higher.关键词
乳腺癌/腔镜下乳房重建/术后并发症Key words
breast cancer/endoscopic breast reconstruction/postoperative complication分类
临床医学引用本文复制引用
詹勇涛,黄婉怡,敖翔,夏浩明,姜明,李洪胜..一种改良拉钩用于悬吊法腔镜下乳房重建的临床分析[J].岭南现代临床外科,2025,25(1):31-35,5.基金项目
广东省医学科学技术基金(A2021294) （A2021294）
