摘要
乳腺腔镜手术是在微创外科的影响下于21世纪初发展起来的乳腺外科新技术,至今已经历了4个阶段。(1)在探索阶段解决了无腔隙器官腔镜手术关键技术和安全性研究,为全面临床应用奠定了实验和技术基础。(2)在发展阶段建立了乳腺腔镜手术适应证,展现了腔镜技术在乳腺外科独特的微创优势。(3)在提高阶段,探索腔镜下完成乳腺癌根治术与整形重建,为乳腺癌术后一期重建提供了新的技术支持,弥补了传统开放手术的不足。(4)在升级阶段,将单孔腔镜技术和机器人手术系统成功用于乳腺外科实践,探索乳腺外科更精细、精准的手术技术。乳腺腔镜手术已经成为乳腺外科一类新的手术方式,一系列理论和技术创新明显改变了传统乳腺手术的面貌。但在我国乳腺腔镜手术的普及度不高,多数大型医院尚未开展。其原因包括乳腺腔镜手术技术要求高,需要专项学习进修;学习曲线较长;手术准备和操作耗时长;乳腺腔镜手术应用存在局限性,有严格的适应证;经济效益比不合理和推广应用力度不够等问题。
Endoscopic surgery for breast diseases is a new surgical technique developed in the early 21 st century under the influence of the development of minimally invasive surgery.It has gone through four stages so far.In the exploration stage,the key technologies and safety issues of the lacunar-free organ endoscopic surgery were solved,which laid the experimental and technical foundation for the comprehensive clinical application.In the development stage,the indications of breast endoscopic surgery have been established,showing the unique minimally invasive advantages of endoscopy in breast surgery.In the improvement stage,the radical surgery and plastic and reconstructive surgery for breast cancer under endoscopy were explored,which provided new technical support for the first-stage reconstruction of breast cancer surgery and cover the shortages of traditional open surgery.In the upgrade stage,the singlehole endoscopic technology and Da Vinci robot technology have been successfully applied in the practice of breast surgery,exploring more precise,more precise,and more minimally invasive surgical techniques of breast surgery.Breast endoscopic surgery has become a new type of breast surgery and a series of theoretical and technological innovations have significantly changed the appearance of traditional breast surgery.However,the popularity of breast endoscopic surgery in China is not high,and most large hospitals have not yet carried out breast endoscopic surgery.The reasons includes the high technical requirements of breast endoscopic surgery and the need for special study,longer the learning curve due to different surgical methods,long preparation and operation time,application limitations and strict indications of breast endoscopic surgery,unreasonable economic benefit ratio and insufficient promotion and application.
作者
姜军
梁燕
艾翔
潘沁汶
JIANG Jun;LIANG Yan;AI Xiang(Department of Breast and Thyroid Surgery,the First Affiliated Hospital of Army Medical University,Chongqing 400038,China)
出处
《中国实用外科杂志》
CSCD
北大核心
2020年第10期1130-1134,共5页
Chinese Journal of Practical Surgery
基金
重庆市科学技术委员会社会事业与民生保障科技创新专项基金(No.cstc2015shms-ztzx10005)。
关键词
腔镜手术
乳腺
适应证
单孔腔镜
机器人手术系统
endoscopic surgery
breast
complication
singlehole endoscopic
robotic surgical system
