乳腺癌保乳切除加经乳腔镜清扫腋窝淋巴结回顾分析

目的 探讨乳腺癌保乳切除加经乳腔镜清扫腋窝淋巴结的可行性和手术难点.方法 将2007年2月-2011年2月行乳腺癌保乳切除手术的27例患者,分成乳腔镜腋窝清扫组(乳腔镜组)11例和常规腋窝清扫组(常规组)16例,比较两组患者手术时间、术中出血量、术中清扫淋巴结数、术后引流时间及引流量等.结果 手术时间:乳腔镜组(186...

Retrospective Analysis of Breast-conserving Resection and Endoscopy-assisted Axillary Lymph Node Dissection for Breast Cancer Patients

Objective To investigate the feasibility and surgical difficulty of breast-conserving resection and endoscopy-assisted axillary lymph node dissection for breast cancer patients.Methods Twenty-seven patients treated by breast-conserving surgery from February 2007 to February 2011 in our hospital were divided into endoscopy-assisted axillary lymph node dissection group（the EALND group,n=11） and conventional axillary lymph node dissection group（the CALND group,n=16）.Then,we compared the operation time,intra-operative bleeding volume,number of lymph nodes dissected,postoperative drainage time and amount between the two groups.Results The operation time was significantly longer in the EALND group than that in the CALND group （186.36±11.20） vs.（158.13±25.29） minutes,P=0.002].The intra-operative bleeding volume of the EALND group was significantly less than that of the CALND group （61.82±51.54） vs.（103.75±42.56） mL,P=0.030].There were no significant differences between the two groups in the number of lymph nodes dissected,postoperative drainage time and amount.Follow-up was done for one month to four years,during which no local recurrence or trocar displacing occurred.Conclusion The breast-conserving resection and endoscopy-assisted axillary lymph node dissection can be safely used in early breast cancer patients,and surgical skills should be mastered in the study.