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首页> 外文期刊>ANZ journal of surgery >Laparoscopic oophorectomy in the management of breast disease.
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Laparoscopic oophorectomy in the management of breast disease.

机译：腹腔镜卵巢切除术在乳腺疾病的管理中。

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BACKGROUND: Oophorectomy is being increasingly carried out in the management of breast disease, as either adjuvant treatment for breast cancer or for prevention of ovarian and fallopian tube cancer in BRCA gene mutation carriers. The aims of this study were to determine the surgical outcome of laparoscopic oophorectomy when carried out by breast surgeons and whether laparoscopic oophorectomy can be safely carried out during the same anaesthesia as breast surgery. METHODS: Patients who had laparoscopic oophorectomy carried out by two breast surgeons were reviewed with regard to the indication, surgical outcome and concurrent procedures. Salpingectomy was also carried out when the indication was prevention. RESULTS: Seventy patients with breast disease had laparoscopic oophorectomy between January 2000 and June 2007. Forty-three patients had laparoscopic oophorectomy for adjuvant endocrine treatment of early breast cancer, 13 for prophylaxis, 7 for endocrine and prophylactic reasons and 7 for treatment of metastatic breast cancer. Sixteen patients had laparoscopic oophorectomy and breast surgery at the same time, without complication. Of note, four BRCA mutation carriers had prophylactic mastectomies, bilateral breast reconstruction and bilateral laparoscopic salpingo-oophorectomy. No patient required conversion to an open procedure, including 29 patients with previous abdominal surgery. There were no significant complications. Three patients had ovarian cancer or breast cancer detected in an ovary. CONCLUSION: Laparoscopic oophorectomy can be safely and efficiently carried out by breast surgeons with expertise in laparoscopic surgery. Previous abdominal surgery did not prevent a successful laparoscopic approach. Breast oncological and/or reconstructive surgery and laparoscopic oophorectomy can be reliably carried out as a combined procedure.
机译：背景：在乳腺癌的管理中，越来越多地进行耳切除术，作为乳腺癌的辅助治疗或预防BRCA基因突变携带者的卵巢癌和输卵管癌。这项研究的目的是确定由乳房外科医师进行的腹腔镜输卵管切除术的手术结果，以及在与乳房手术相同的麻醉过程中是否可以安全地进行腹腔镜输卵管切除术。方法：回顾了由两名乳腺外科医师进行的腹腔镜卵巢切除术的患者的适应症，手术结果和并发程序。当适应症是预防性的时，也进行输卵管切除术。结果：2000年1月至2007年6月之间，有70例乳腺疾病患者接受了腹腔镜卵巢切除术。其中43例接受了腹腔镜卵巢切除术作为早期乳腺癌的辅助内分泌治疗，13例为预防性，7例为内分泌和预防性原因以及7例为转移性乳腺癌治疗癌症。 16例患者同时进行了腹腔镜卵巢切除术和乳房手术，无并发症。值得注意的是，四个BRCA突变携带者具有预防性乳房切除术，双侧乳房再造和双侧腹腔镜输卵管卵巢切除术。没有患者需要转换为开放手术，包括29位先前接受过腹部手术的患者。没有明显的并发症。三名患者在卵巢中发现了卵巢癌或乳腺癌。结论：具有腹腔镜手术专业知识的乳腺外科医师可以安全有效地进行腹腔镜卵巢切除术。先前的腹部手术并不能阻止成功的腹腔镜手术。乳房肿瘤学和/或重建手术和腹腔镜卵巢切除术可以可靠地结合起来进行。

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