2024 , Vol. 18 >Issue 03: 129 - 139
DOI: https://doi.org/10.3877/cma.j.issn.1674-0807.2024.03.001
机器人乳腺癌手术专家共识
收稿日期: 2024-05-10
网络出版日期: 2024-07-03
版权
Expert consensus for robotic breast cancer surgery
Received date: 2024-05-10
Online published: 2024-07-03
Copyright
乳腺微创手术具有创伤小、出血少、切口隐蔽、并发症少、功能保护好等优点。机器人手术系统以其智能化、远程化、微创化、数字化在乳腺外科手术中比传统开放或腔镜手术更有优势,诞生了很多新术式,让更多乳腺癌患者获益。与欧美女性相比,亚裔女性乳腺癌年轻化趋势明显,乳房多为中小体积,腺体密度较高,与周围脂肪之间层次分明,更合适远程手术;且亚裔女性术后更易形成瘢痕。因此,机器人辅助乳腺微创技术对于亚裔患者意义重大。鉴于目前手术尚缺乏规范及统一意见,结合国际机器人乳腺癌治疗的最新理论和实践经验,对机器人辅助的保留乳头乳晕的乳房切除术联合假体乳房重建或自体组织乳房重建等手术技术制定了专家共识。
国际机器人乳腺外科手术专家协作组(专家委员会) . 机器人乳腺癌手术专家共识[J]. 中华乳腺病杂志(电子版), 2024 , 18(03) : 129 -139 . DOI: 10.3877/cma.j.issn.1674-0807.2024.03.001
Minimally invasive breast surgery has the advantages of reduced trauma and blood loss, aesthetic incision placement, decreased incidence of postoperative complications, and optimal functional conservation. Robotic surgical systems, with their intelligent, remote, minimally invasive, and digital capabilities, are superior to traditional open or laparoscopic techniques for breast surgical operations. Their use has led to the development of many new surgical techniques that have benefited a great number of patients with breast cancer. Compared with that of Western women, the epidemiological profile of breast cancer in Asian women is characterized by an earlier age of onset, predominantly smaller breasts with denser glandular tissue, a distinct anatomical delineation between glandular and adipose tissues, and a greater predisposition to scar formation. Thus, Asian patients are prime candidates for remote breast cancer surgery. Given the current lack of standardization, consensus, and guidelines for robot-assisted nipple-sparing mastectomy with implant or autologous tissue reconstruction, as well as other robotic-assisted procedures, we make this consensus and provide these resources here for Asian patients, with the incorporation of the latest theories and international practical experiences.
Key words: Breast neoplasms; Robotic surgery; Consensus
利益冲突声明:本共识的制定与任何商业团体无利益相关。
[1] |
|
[2] |
|
[3] |
|
[4] |
|
[5] |
|
[6] |
|
[7] |
|
[8] |
|
[9] |
|
[10] |
|
[11] |
|
[12] |
|
[13] |
陈莉. 达芬奇机器人在乳房重建中的应用及未来发展新趋势[J/CD]. 中华乳腺病杂志(电子版), 2020, 14(3):131-133.
|
[14] |
|
[15] |
|
[16] |
|
[17] |
|
[18] |
|
[19] |
|
[20] |
|
[21] |
吴鑫,刘静,陈莉.机器人手术系统在乳腺外科的应用进展[J].机器人外科学杂志(中英文),2023,4(3):186-192.
|
[22] |
|
[23] |
|
[24] |
|
[25] |
|
[26] |
|
[27] |
|
[28] |
|
[29] |
|
[30] |
|
[31] |
|
[32] |
|
[33] |
|
[34] |
|
[35] |
|
[36] |
|
[37] |
|
[38] |
|
[39] |
|
[40] |
|
[41] |
|
[42] |
|
[43] |
|
[44] |
|
[45] |
|
[46] |
|
[47] |
|
[48] |
|
[49] |
|
[50] |
|
[51] |
|
[52] |
|
[53] |
|
[54] |
|
[55] |
|
[56] |
|
[57] |
|
[58] |
|
[59] |
|
[60] |
姜军,梁燕,艾翔,等.我国乳腺腔镜手术现状与困境[J].中国实用外科杂志,2020,40(10): 1130-1134.
|
[61] |
|
[62] |
|
[63] |
|
[64] |
|
[65] |
陈莉. 机器人和腔镜背阔肌乳房重建关键技术[J]. 中国实用外科杂志,2020,40(10): 1149-1152.
|
[66] |
|
[67] |
|
[68] |
|
[69] |
|
[70] |
|
[71] |
|
[72] |
|
[73] |
|
[74] |
|
[75] |
|
[76] |
|
[77] |
桂余,陈莉. 达芬奇机器人在乳腺外科中的应用及进展[J]. 临床外科杂志,2021, 29(3): 292-294.
|
[78] |
|
[79] |
徐舒曼,陈莉. 乳腺癌相关淋巴水肿的治疗进展[J/CD]. 中华乳腺病杂志(电子版), 2017, 11(4): 247-251.
|
[80] |
|
[81] |
|
[82] |
陈显春,阎文婷,吴秀娟,等. 达芬奇机器人辅助下乳腺癌带蒂大网膜乳房填充重建术[J]. 局解手术学杂志,2017,26(11): 823-826.
|
[83] |
|
[84] |
|
[85] |
|
[86] |
|
[87] |
|
[88] |
|
[89] |
|
[90] |
|
[91] |
|
[92] |
|
[93] |
|
[94] |
|
[95] |
|
[96] |
|
[97] |
|
[98] |
|
[99] |
|
[100] |
|
[101] |
|
[102] |
|
[103] |
|
[104] |
|
/
〈 |
|
〉 |