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首页> 外文期刊>The American Journal of Surgery >A novel ultrasound-guided electrosurgical loop device for intra-operative excision of breast lesions; an improvement in surgical technique.
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A novel ultrasound-guided electrosurgical loop device for intra-operative excision of breast lesions; an improvement in surgical technique.

机译：一种新颖的超声引导下电外科环装置，用于术中切除乳腺病变;外科技术的进步。

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摘要

BACKGROUND: The rate of involved margins after the excision of breast lesions using standard surgical techniques has historically ranged from approximately 20% to 45%. The localization and excision of breast lesions using intraoperative ultrasound has provided significant improvement. The authors report their collective experience with a novel technique utilizing the Phantom flexible loop electrosurgical device under ultrasound guidance for the intraoperative excision of breast lesions. METHODS: Seventy-nine breast lesions were excised using the Phantom device with intraoperative ultrasound. Rate of reexcision, excised specimen size, and size of the lumpectomy incision were reviewed. RESULTS: Fifty-nine of 79 lesions were malignant. Fifty-one (86.4%) had noninvolved final margins; 8 (13.6%) involved margins. The average specimen size was 21.3 cm3, compared with a range of 60 to 100 cm3 in the literature. CONCLUSIONS: These results demonstrate improved efficiency, a decrease in the volume of excision, smaller incision size, and very low need for reoperation secondary to involved margins using the Phantom device for real-time, ultrasound-guided lumpectomy.
机译：背景：使用标准手术技术切除乳房病变后的切缘发生率历史上一直在大约20％至45％之间。术中超声对乳腺病变的定位和切除已取得了显着改善。作者报告了他们在使用Phantom柔性环电外科设备在超声引导下进行乳腺病变术中切除的新技术的集体经验。方法：使用Phantom设备在术中超声切除了79例乳腺病变。复查率，切除的标本大小和肿块切除切口的大小进行了审查。结果：79个病变中有59个为恶性。 51个（86.4％）的最终利润没有涉及; 8（13.6％）涉及利润。平均样本尺寸为21.3 cm3，而文献中的范围为60至100 cm3。结论：这些结果表明，使用Phantom装置进行实时超声引导下的肿块切除术，可以提高效率，减少切除量，减小切口尺寸，并减少因受累边缘继发的再手术。

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