外科理论与实践››2022,Vol. 27››Issue (05): 396-402.doi:10.16139/j.1007-9610.2022.05.004
谢妍妍, 吕青, 杜正贵(
)
收稿日期:2022-08-04出版日期:2022-09-25发布日期:2022-11-10通讯作者:杜正贵 E-mail:docduzg@163.com基金资助:
XIE Yanyan, LU Qing, DU Zhenggui()
Received:2022-08-04Online:2022-09-25Published:2022-11-10Contact:DU Zhenggui E-mail:docduzg@163.com中图分类号:
谢妍妍, 吕青, 杜正贵. 乳腺腔镜和机器人手术的现状及未来之路——华西医院经验分享[J]. 外科理论与实践, 2022, 27(05): 396-402.
XIE Yanyan, LU Qing, DU Zhenggui. Endoscopic and robotic breast surgery: present and future—the experience of West China Hospital[J]. Journal of Surgery Concepts & Practice, 2022, 27(05): 396-402.
图1
腔镜NSM联合全胸肌后假体乳房重建逆序法 A：重建术前；B：游离胸大、小肌间假体腔；C：游离乳房后间隙；D：游离乳腺皮下浅筋膜浅层；E：取出整个乳腺腺体；F：重建术后
图2
腔镜NSM联合腔镜背阔肌切取乳房重建逆序法 A：侧卧位腔镜操作；B：华西1号孔；C：华西2号孔；D：逆序切除乳腺腺体和切取背阔肌（①乳房后间隙；②乳腺腺体浅面；③背阔肌浅面；④背阔肌深面）。
图3
用于胸肌后假体联合补片乳房重建术的“降落伞补片缝合法” 蓝线为下牵引线，绿线为回牵引线，黑线为缝合线。A：皮下腺体单纯切除术后；B：下牵引线、回牵引线与补片的位置关系；C：缝合补片上缘与胸大肌起点；D：固定并缝合补片；E：剪断3根下牵引线；F： 补片及假体植入完毕。
图4
用于胸肌前假体联合补片乳房重建术的“三向牵引线补片缝合法” A：体位切口图；B：下牵引线缝合；C：上牵引线缝合；D：固定补片囊腔；E：假体置入；F：抽出回牵引线；G：固定补片的外侧缘和上缘；H：剪断牵引线。
图5
本团队创新乳腺癌腔镜术中所用器械
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