乳腔镜手术治疗男子乳腺发育

Mastoscopic Subcutaneous Mastecomy for Gynecomastia

目的探讨腔镜乳房皮下腺体切除术治疗男子乳腺发育的临床效果及可行性。方法2014年10月~2019年8月,在全麻下行腔镜乳房皮下腺体切除术20例38侧。结果无中转开放手术。单侧手术时间55~205 min,中位数102.5 min;术中出血量10~150 ml,中位数25 ml;术后引流量10~640 ml,中位数140 ml;引流时间3~12 d,中位数5.5 d;术后住院4~16 d,(8.7±2.5)d。术后均恢复顺利,未发生术后出血、乳头乳晕坏死、伤口感染等并发症。术后随访6个月~2年,平均12个月,患者对乳房形态及手术效果满意,均未复发。结论腔镜乳房皮下腺体切除术治疗男子乳腺发育效果好,创伤小,安全可行。

Objective To explore the clinical effect and feasibility of endoscopic subcutaneous adenoidectomy for gynecomastia.Methods From October 2014 to August 2019,20 patients who were treated in our hospital with endoscopic subcutaneous mastectomy were reviewed.A total of 38 sides of breast were resected under general anesthesia.Results There was no conversion to open operation.The duration of unilateral operation was 55-205 min(median,102.5 min);the intraoperative bleeding was 10-150 ml(median,25 ml);the postoperative drainage volume was 10-640 ml(median,140 ml);the drainage time was 3-12 days(median,5.5 days);the length of postoperative hospitalization ranged 4-16 days[mean,(8.7±2.5)d].All the patients recovered smoothly after operation without complications such as postoperative bleeding,nipple necrosis or wound infection.There was no recurrence after 6 months to 2 years of follow-ups(mean,12 months),and the patients were satisfied with the breast shape and the effect of the operation.Conclusion Endoscopic subcutaneous mastectomy for the treatment of gynecomastia is effective,minimally invasive,and feasible.