关键词: 内窥镜, 隆乳术, 乳腺良性病变, 腋窝切口

Abstract: Objective To explore the feasibility of simultaneous breast augmentation after the resection of the benign breast lesions under endoscope. Methods From May 2013 to June 2017, 43 patients with benign breast lesions were treated. According to the patient's condition, the extent of breast lesion removal was marked, the range of the needed dissection to implant the prosthesis was designed, and the suitable prosthesis was chosed. The retromammary space were established under endoscope through transaxillary incision. Benign breast lesions were located and removed by puncture guiding technique. Silicone implants were placed through the axillary incision. The vacuum drainage was performed for 3 to 6 days. Results All operations were successfully completed. The operative time was (113.6±20.4) min, blood loss was (36.6± 4.8) mL, postoperative drainage was used for (3.4±1.2) days, unilateral breast drainage was (216.5±21.7) mL. Patients were followed up for 12 months, no significant nipple and areola sensory loss were observed. Two cases appeared mild local dent on the surface of the breast, 1 case appeared capsular contracture of Baker Ⅱlevel. The breast of the remaining patients was plump and round in shape with soft hand-feel and good activity. No prosthesis displacement, bimodal breast shape and other complications were observed. Conclusion For patients with benign breast lesions, simultaneous breast augmentation after the resection of the breast lesions under endoscope is safe and feasible.

Key words: Endoscope, Breast augmentation, Benign breast lesions, Transaxillary incision