川北医学院学报2016，Vol.31Issue(5)：756-758,3.DOI:10.3969/j.issn.1005-3697.2016.05.038
全腔镜乳房皮下腺体切除术联合腔镜前哨淋巴结活检术治疗早中期乳腺癌的技巧探讨
Surgery management of endoscopic-assisted subcutaneous mastectomy and sentinel lymph node biopsy in treatment of early and medium stage breast cancer
佘青 1李有怀 1程永刚 1杨文强 1王磊 1李昭琦1
作者信息
- 1. 陕西省宝鸡市中心医院乳腺科，陕西 宝鸡 721008
- 折叠
摘要
Abstract
Objective:To observe the clinical efficacy of endoscopic-assisted subcutaneous mastectomy and sentinel lymph node biopsy (SLNB)in treatment of early and medium stage breast cancer,and to discuss related surgery management.Methods:A total of 63 patients with early and medium stage breast cancer were given endoscopic-assisted subcutaneous mastectomy and SLNB after 2-4 cy-cles TEC neoadjuvant chemotherapy before operation,and node metastasis cases further endoscopic axillary lymph node dissection for sentinel lymph.The results of sentinel lymph node biopsy,surgical efficacy,complication,recurrence and metastasis of cancer were re-corded and analyzed in surgery.Results:The identification rate of sentinel lymph node was 100%(63 /63),with an average of (3.5 ± 0.7)nodes (1 -8).Axillary lymph node dissection was performed in 32 cases with positive SLNB.The main complications were partial nipple necrosis in 4 cases and subcutaneous emphysema in 3 cases.With an averaged (7.6 ±2.1 )months of follow up,none of patients had recurrence or metastasis of cancer.Conclusion:Endoscopic-assisted subcutaneous mastectomy and SLNB is feasible and safe in treatment of early and medium stage breast cancer.Proper operation space,sufficient fat-dissolving and carefully protection on the nipple areola skin and subcutaneous blood circulation is the key to successful operation.关键词
乳腺癌/腔镜手术/皮下腺体切除/前哨淋巴结活检术Key words
Breast Cancer/Endoscopic Surgery/Subcutaneous mastectomy/Sentinel lymph node biopsy分类
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佘青,李有怀,程永刚,杨文强,王磊,李昭琦..全腔镜乳房皮下腺体切除术联合腔镜前哨淋巴结活检术治疗早中期乳腺癌的技巧探讨[J].川北医学院学报,2016,31(5):756-758,3.
