目的

探讨腔镜在乳腺外科的临床应用及存在的问题。

方法

对45 例乳腺癌患者行腋窝脂肪抽吸后，采用腔镜施行腋窝淋巴结清扫，并对3 例乳腺多发性纤维腺瘤和3 例男性乳房发育症患者行腔镜下乳腺肿物切除术或皮下乳房切除术。

结果

全部患者均顺利完成手术，手术历时50～180 min。 除1 例术后有切口内出血外， 其余患者术后恢复顺利。

结论

腔镜在乳腺外科的应用具有传统手术无法达到的微创优势和美容效果，提高了患者的生活质量，是对传统手术方法的挑战。

Objective

To explore the clinical application of endoscope in breast surgery and existing problems.

Methods

Forty-five breast cancer patients underwent endoscopic axillary lymphadenectomy after axillary liposuction. In 3 patients with multiple breast fibroadenoma， tumors were removed using endoscopic resection， and 3 gynecomastia patients were treated with endoscopic subcutaneous mastectomy.

Results

All operations were performed successfully without deaths. The duration of operation was 50～180 minutes. All patients had smooth postoperative recovery except that one patient suffered postoperative bleeding from the incision.

Conclusions

Endoscopic operation has the advantages of minimal invasion and good cosmetic effect which can not be achieved by conventional operation methods in breast surgery， and also improves the life quality of the patients. It is a challenge to conventional operation methods.