Effect of axillary lymph node surgery on complications following immediate two-stage breast reconstruction after mastectomy
10.12007/j.issn.0258-4646.2024.08.004
- VernacularTitle:腋窝淋巴结手术对全乳房切除术联合即刻两期法乳房再造患者术后并发症的影响
- Author:
Ling LI
1
;
Bo CHEN
;
Siyuan HAN
Author Information
1. 中国医科大学附属第一医院乳腺外科,沈阳 110001
- Keywords:
axillary lymph node surgery;
mastectomy;
immediate two-stage breast reconstruction;
complication
- From:
Journal of China Medical University
2024;53(8):692-696,703
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effects of different axillary lymph node surgical procedures on complications following immediate two-stage breast reconstruction after mastectomy.Methods A retrospective analysis was performed on 232 patients who underwent mas-tectomy with immediate two-stage breast reconstruction in the Department of Breast Surgery at the First Hospital of China Medical Uni-versity between January 2018 and December 2021.Patients were divided into two groups based on the type of axillary lymph node surgery performed:the sentinel lymph node biopsy group(SLNB group,n=84)and the axillary lymph node dissection group(ALND group,n=148).We compared baseline characteristics,surgical procedures,and postoperative complications between the two groups.Results The ALND group had a higher prevalence of advanced T and N stages,received neoadjuvant chemotherapy more frequently,and underwent chemotherapy and radiotherapy at a higher rate compared to the SLNB group.Additionally,the ALND group experienced greater drainage volume and a significantly higher complication rate(all P<0.05).Postoperative infection was the most common complication observed in the ALND group.Importantly,no significant differences were found in long-term outcomes(local/regional recurrence,distant metastasis,and disease-free survival)between the two groups(all P>0.05).Conclusion In patients undergoing immediate two-stage breast recon-struction after mastectomy,axillary lymph node dissection is associated with a higher rate of reconstruction complications compared to sentinel lymph node biopsy.
