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中华乳腺病杂志(电子版)

中华乳腺病杂志(电子版) ›› 2019, Vol. 13 ›› Issue (02) : 65 -68. doi: 10.3877/cma.j.issn.1674-0807.2019.02.001

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腹腔镜下获取带蒂大网膜瓣在乳腺癌术后乳房重建中的应用价值
王子函1, 辛培2, 张忠涛1, 屈翔1,†()   
  1. 1. 100050　首都医科大学附属北京友谊医院普通外科
    2. 100022　北京垂杨柳医院肿瘤科
  • 收稿日期:2019-01-17 出版日期:2019-04-01
  • 通信作者: 屈翔

Application of laparoscopically harvested pedicled omental flap for breast reconstruction after breast cancer surgery

Zihan Wang1, Pei Xin2, Zhongtao Zhang1, Xiang Qu1,†()   

  1. 1. Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
    2. Department of Oncology, Beijing Chuiyangliu Hospital, Beijing 100022, China
  • Received:2019-01-17 Published:2019-04-01
  • Corresponding author: Xiang Qu
  • About author:
    Corresponding author: Qu Xiang, Email:
    Wang Zihan and Xin Pei are the first authors who contributed equally to the article
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王子函, 辛培, 张忠涛, 屈翔. 腹腔镜下获取带蒂大网膜瓣在乳腺癌术后乳房重建中的应用价值[J/OL]. 中华乳腺病杂志(电子版), 2019, 13(02): 65-68.

Zihan Wang, Pei Xin, Zhongtao Zhang, Xiang Qu. Application of laparoscopically harvested pedicled omental flap for breast reconstruction after breast cancer surgery[J/OL]. Chinese Journal of Breast Disease(Electronic Edition), 2019, 13(02): 65-68.

大网膜具有较强的吸收功能和覆盖填充作用，因此可以应用于乳房切除后的乳房重建。但由于开腹获取大网膜对腹部有较大的创伤，且大网膜较小的体积难以填充较大的乳房，使其在临床上的应用受到了限制。笔者重点介绍通过腹腔镜技术获取大网膜从而减小供区创伤，以及乳房体积较大时采用大网膜联合假体置入完成乳房重建的方法。

关键词: 乳腺肿瘤, 大网膜, 假体植入, 乳房重建

The greater omentum can be used for breast reconstruction after mastectomy due to its strong absorptive function and covering/padding capability. However, the harvest of the greater omentum by the open access causes serious abdominal trauma, and it cannot fill the defect of a big breast due to its limited volume, so it has not been widely applied in clinic. This article focused on the application of laparoscopically harvested pedicled omental flap to reduce the trauma of donor site and introduced the technique of breast reconstruction with the greater omentum combined with the prosthesis in patients with big breasts.

Key words: Breast neoplasms, Omentum, Prosthesis implantation, Breast reconstruction
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