中国普通外科杂志2011，Vol.20Issue(5)：474-477,4.
乳腔镜腋窝淋巴结清扫术的应用
Clinical application of mastoscopic axillary lymph node dissection
丁波泥 1李小荣 1陈道瑾 1吴君辉 1钱立元1
作者信息
- 1. 中南大学湘雅三医院,普外二科,湖南,长沙,410013
- 折叠
摘要
Abstract
Objective To evaluate the therapeutic effect and surgical technique of mastoscopic axillary lymph node dissection ( MALND ). Methods The clinical data of 100 patients with breast cancer undergoing mastoscopic (50 cases ) or conventional (50 cases ) axillary lymph node dissection since Dec. 2008 were retrospectively analysed. The parameters including the operating time, bleeding volume, number of lymph nodes removed, lymph node metastasis, hospital stay and occurrence of postoperative complication were compared respectively between the two groups. Results No differences were noted in the average number of lymph node harvested, lymph node metastasis and hospital stay between the two groups ( P ＞ 0. 05 ).Although the mastoscopic procedure showed longer operating duration than conventional procedure [ ( 221.85 ± 19.61) min vs. (140.05 ±13.95) min] (P=0.000), it had less bleeding (P=0.012) and lower postoperative complication rate ( P = 0. 034 ) than that of conventional surgery. Conclusions MALND is worth being promoted for broad clinical applications owing to its advantages of minimal invasion, simple procedure, low complication rate, rapid recovery and invisible scar. However, the surgical technique of MALND remains to be further improved to reduce the prolonged operating time.关键词
乳腺肿瘤/外科学/乳腔镜/腋窝淋巴结清扫术Key words
Breast Neoplasms/surg/ Mastoscopy/ Axillary Lymph Node Dissection分类
医药卫生引用本文复制引用
丁波泥,李小荣,陈道瑾,吴君辉,钱立元..乳腔镜腋窝淋巴结清扫术的应用[J].中国普通外科杂志,2011,20(5):474-477,4.
