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完全腔镜腋窝副乳切除手术的临床经验 被引量:22

Clinical experience of totally endoscopic resection of axillary accessory breast
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摘要 目的 研究完全腔镜腋窝副乳切除手术的临床可行性及效果。方法 完全腔镜切除48例59个腋窝副乳。在脂肪抽吸基础上,安置腔镜入孔和另外2个5 mm的操作孔,插入分离钳和分离剪或超声刀,分离、切断副乳处如蜘蛛网样的纤维间隔。结果 术后1例皮下积液,2例皮下瘀斑,未出现血肿、感染等并发症,所有伤口均Ⅰ期愈合。随访2~58个月,平均23.6月,术后外观良好,疗效满意。结论 完全腔镜副乳切除手术临床安全,术后局部美容效果佳,值得在有条件的单位推广。 Objective To study the clinical feasibility and effect of totally endoscopic resection of axillary accessory breast. Methods Totally endoscopic resection of axillary accessory breast was performed in 48 cases (59 sites). On the basis of liposuetion, a camera port and two 5-mm working trocars were made. By using forceps, dissecting scissors, or harmonic knife, were inserted. The cobweb-like fibropartition around the accessory breast was dissected. Results Postoperatively, there were 1 case of subcutaneous liquid accumulation and 2 cases of subcutaneous petechia, and no hematoma or infection developed. All wounds healed by first intention. Follow-up observations for 2- 58 months ( mean, 23. 6 months) showed good appearance and satisfactory effects. Conclusions Totally endoscopic resection of axillary accessory breast is safe, offering good cosmetic effects and being worthy of recommendation.
出处 《中国微创外科杂志》 CSCD 2007年第7期682-683,共2页 Chinese Journal of Minimally Invasive Surgery
关键词 副乳 手术 腔镜 Accessory breast Operation Endoscopy
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