外科理论与实践 ›› 2025, Vol. 30 ›› Issue (06): 537-543.doi: 10.16139/j.1007-9610.2025.06.13

• 综述 • 上一篇    下一篇

乳腺癌微创手术国内开展现状与展望

段诗妤, 金贻婷()   

  1. 复旦大学附属华山医院普外科甲乳外科中心上海 200040
  • 收稿日期:2024-12-09 出版日期:2025-11-25 发布日期:2026-01-26
  • 通讯作者: 金贻婷,E-mail: clara_raky@aliyun.com

Current status and prospects of minimally invasive surgery for breast cancer in China

DUAN Shiyu, JIN Yiting()   

  1. Department of Thyroid and Breast Surgery, General Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China
  • Received:2024-12-09 Online:2025-11-25 Published:2026-01-26

摘要:

本文系统回顾了乳腺癌微创手术在国内的应用现状与发展前景。腔镜与机器人手术目前在乳腺外科的应用仍相对有限,但已在腋窝淋巴结清扫、保乳手术、全乳切除及乳房重建等多种术式中展现出良好的美容效果与术后恢复优势。然而,其长期肿瘤学安全性尚需更多高质量临床研究予以验证。尽管目前存在手术时间长、医疗成本高等挑战,但随着技术不断成熟与临床研究深入,微创技术有望成为乳腺癌外科治疗的重要发展方向。

关键词: 乳腺肿瘤, 微创手术, 腔镜, 机器人手术

Abstract:

This article provided a systematic review of the current application and development prospect of minimally invasive surgery for breast cancer in China. Although application of endoscopic and robotic surgical procedures remain limited in breast surgery, they have shown advantages in cosmetic outcomes and postoperative recovery across various procedures, including axillary lymph node dissection, breast-conserving surgery, mastectomy, and breast reconstruction. Nonetheless, further high-quality clinical evidence is needed to confirm their long-term oncological safety. Despite current challenges of prolonged operation time and high medical cost, minimally invasive techniques are poised to become an integral component of breast cancer surgical care with continuous refinements of technology and accumulating clinical evidence.

Key words: Breast neoplasm, Minimally invasive surgery, Endoscopy, Robotic surgical procedure

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