Clinical analysis of 32 cases of breast cancer undergoing endoscopic clearance of axillary lymph nodes
10.3760/cma.j.issn.1674-6090.2009.06.007
- VernacularTitle:32例腔镜下乳腺癌腋窝淋巴结清扫术临床分析
- Author:
Ming JIANG
;
Xueqing JIANG
;
Meirong YIN
;
Yuan ZHONG
;
Yonggang YANG
;
Zhiyong WU
- Publication Type:Journal Article
- Keywords:
Breast cancer;
Axillary lymph node clearance;
Mastos cope
- From:
Journal of Endocrine Surgery
2009;3(6):384-386
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the operation technique, feasibility and clinical outcome of endoscopic clearance of axillary lymph node with liposuction(E-ALNC) in 32 patients with breast cancer. Methods From January 2005 to December 2008, a total of 32 patients with breast cancer were treated with E-ALNC.The clinical data of the patients were analyzed retrospectively and compared with those of 46 patients who have undergone traditional axillary lymph node clearance(T-ALNC)during the same period. Results Both groups were Ⅰ~Ⅱ breast cancer. There were no interim open surgery, massive bleeding, subcutaneous emphysema,fat embolism and other complications in E-ALNC. There was no significant difference between E-ALNC and T-ALNC in lymph number removed(15.5 in E-ALNC) and operation time(80 min in E-ALNC). But there was less bleeding (380ml) and lower postoperation complication rate in E-ALNC. Conclusions The E-ALNC and T-ALNC can have the same effect in the breast conserving surgery.The method makes patients attain a physiological and psychological minimal invasiveness. Besides assuring the quality of axillary lymph node clearance, the method can reduce the occurrence of surgical complication and improve the patients'life quality. E-ALNC can replace the routine surgery and can be carried out in the qualified hospitals.