CAJ | 학술논문

目的：探讨经腋前线单切口腔镜辅助乳腺手术（ video-assisted breast surgery ，VABS）切除乳腺纤维瘤的安全性与可行性。方法回顾性分析2012年1月～2014年3月30例乳腺纤维瘤手术情况，按照病人意愿行经腋前线VABS或经乳晕切口常规手术，比较手术相关参数和手术并发症的发生率。结果本组30例均完成手术，其中腔镜组17例，常规组13例，2组年龄、病灶大小等差异无显著性。无手术并发症发生。2组手术时间、出血量和住院时间差异无显著性。腔镜组切口至病灶远端距离明显长于常规组[（8．7±2．7） cm vs．（1．4±1．1） cm， t＝9．234， P＝0．000]。腔镜组中切口到病灶距离≤8．0 cm者（n＝8）手术时间明显短于＞8．0 cm者（n＝9）[中位数22（13～38） min vs．45（11～58） min， Z＝2．215， P＝0.027]。结论经腋前线VABS在乳腺纤维瘤的病灶切除中有与常规手术相似的安全性和可操作性，更适合乳房外侧象限病灶切除。
목적：탐토경액전선단절구강경보조유선수술（ video-assisted breast surgery ，VABS）절제유선섬유류적안전성여가행성。방법회고성분석2012년1월～2014년3월30례유선섬유류수술정황，안조병인의원행경액전선VABS혹경유훈절구상규수술，비교수술상관삼수화수술병발증적발생솔。결과본조30례균완성수술，기중강경조17례，상규조13례，2조년령、병조대소등차이무현저성。무수술병발증발생。2조수술시간、출혈량화주원시간차이무현저성。강경조절구지병조원단거리명현장우상규조[（8．7±2．7） cm vs．（1．4±1．1） cm， t＝9．234， P＝0．000]。강경조중절구도병조거리≤8．0 cm자（n＝8）수술시간명현단우＞8．0 cm자（n＝9）[중위수22（13～38） min vs．45（11～58） min， Z＝2．215， P＝0.027]。결론경액전선VABS재유선섬유류적병조절제중유여상규수술상사적안전성화가조작성，경괄합유방외측상한병조절제。
Objective-To-explore-the-feasibility-and-safety-of-video-assisted-breast-surgery-(-VABS)-through-single-incision-on-the-anterior-axillary-line-,-as-compared-with-conventional-resection-,-for-adenofibroma-.-Methods-From-January-2012-to-March-2014,-a-retrospective-analysis-of-30-cases-of-adenofibroma-treated-either-by-conventional-resection-through-areola-incision-(-CT-group)-or-by-VABS-through-the-single-incision-on-anterior-axillary-line-(-VA-group-)-was-carried-out-.The-surgery-related-parameters-and-the-incidence-of-postoperative-complications-were-compared-between-the-two-groups-.-Results-All-the-30-patients-underwent-the-surgical-procedure-successfully,-including-13-patients-belonging-to-CT-group-and-17-patients,-VA-group.The-age,-the-size-of-lesions,-and-the-incision-length-had-no-significant-differences-between-the-two-groups-.No-postoperative-complications-occurred-in-all-the-patients-.The-operation-time-,-intraoperative-blood-loss-and-length-of-hospital-stay-were-not-statistically-significant-between-the-two-groups-.The-maximum-distance-(MaxD)-from-incision-to-lesion-was-significantly-longer-in-the-VA-group-than-that-in-the-CT-group-[(8.7-±2.7)-cm-vs.(1.4-±1.1)-cm,-t=9.234,-P=0.000].The-operative-time-in-patients-with-MaxD≤8.0-cm-(n=8)-was-significantly-shorter-than-that-in-patients-with-MaxD->8.0-cm-(n=9)-[median,-22-(13-38)-min-vs.45-(11-58)-min,-Z=2.215,-P=0.027].-Conclusions-Video-assisted-breast-surgery-through-single-incision-on-the-anterior-axillary-line-has-the-similar-safety-and-feasibility-with-conventional-resection-.It-is-more-suitable-for-removing-the-lesions-in-the-outer-quadrant-of-the-breast-.