非溶脂单孔充气法腔镜皮下乳腺切除术治疗男性乳腺发育症的临床观察

Clinical Observation of Single-port Inflated Laparoscopic Subcutaneous Mastectomy with Non-liposuction for Gynecomastia

目的:探讨非溶脂单孔充气法腔镜皮下乳腺切除术治疗男性乳腺发育症的方法及可行性。方法:回顾性分析2018年1月-2021年4月笔者科室收治的21例(32侧)男性乳腺发育症患者临床资料。所有患者均行经腋窝非溶脂单孔充气法腔镜皮下乳腺切除术。结果:所有患者均顺利完成手术,术后发生皮下积液1例,腔镜操作孔皮缘坏死1例,少量胸壁皮下气肿1例,均未发生乳头乳晕坏死、皮瓣坏死、血肿等并发症。所有患者双侧胸壁基本对称,乳头外形正常,均未出现复发病例。所有患者对术后美学效果满意。结论:非溶脂单孔充气法腔镜皮下乳腺切除术治疗男性乳腺发育症疗效好,并发症少,且具有良好的美学效果。

Objective To investigate the technique and feasibility of non-liposuction single-port endoscopic surgery in the treatment of gynecomastia.Methods The clinical data of 21 cases of gynecomastia(including 10 cases of unilateral breast development and 11 cases of bilateral breast development,a total of 32 cases)treated in the author's hospital from January 2018 to April 2021 were analyzed retrospectively.All of them underwent trans-axillary single-port endoscopic subcutaneous mastectomy without liposuction.Results All patients successfully completed the operation.Post operative complications included 1 case of subcutaneous hydrops,1 case of skin necrosis around the endoscopic operation hole and 1 case of subcutaneous emphysema of chest wall.No complications such as nipple areola necrosis,flap necrosis and hematomas occurred.The bilateral chest walls of all patients were basically symmetrical,the nipple shape was normal,and there was no recurrence.All patients were satisfied with the postoperative aesthetic results.Conclusion Non-liposuction single-port endoscopic subcutaneous mastectomy is safe and effective,and has a good cosmetic effect.