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指南与共识

机器人乳腺癌手术专家共识

  • 国际机器人乳腺外科手术专家协作组(专家委员会)
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  • 1.400038 重庆,陆军军医大学第一附属医院乳腺甲状腺外科
通信作者:陈莉(400038 重庆,陆军军医大学第一附属医院乳腺甲状腺外科),Email:;
李世超(400038 重庆,陆军军医大学第一附属医院乳腺甲状腺外科), Email:

收稿日期: 2024-05-10

  网络出版日期: 2024-07-03

版权

未经授权,不得转载、摘编本刊文章,不得使用本刊的版式设计,除非特别声明,本刊刊出的所有文章不代表中华医学会和本刊编委会的观点。本刊为电子期刊,以网刊形式出版。

Expert consensus for robotic breast cancer surgery

  • International Collaborative Group of Robotic Breast Surgery (Expert Committee)
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  • 1.Department of Breast and Thyroid Surgery, First Affiliated Hospital of Army Medical University, Chongqing 400038, China
  • 2.Department of Breast and Thyroid Surgery, First Affiliated Hospital of Army Medical University, Chongqing, 400038, China
Corresponding author: Chen Li (Department of Breast and Thyroid Surgery, First Affiliated Hospital of Army Medical University, Chongqing 400038, China), Email: ;
Li Shichao(Department of Breast and Thyroid Surgery, First Affiliated Hospital of Army Medical University, Chongqing, 400038, China), Email:

Received date: 2024-05-10

  Online published: 2024-07-03

Copyright

Copyright by Chinese Medical Association No content published by the journals of Chinese Medical Association may be reproduced or abridged without authorization. Please do not use or copy the layout and design of the journals without permission. All articles published represent the opinions of the authors, and do not reflect the official policy of the Chinese Medical Association or the Editorial Board, unless this is clearly specified.

摘要

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。

本文引用格式

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

Abstract

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.

利益冲突声明:本共识的制定与任何商业团体无利益相关。

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