乳腔镜腋窝淋巴结清扫术21例临床分析

目的:探讨乳腺癌腔镜腋窝淋巴结清扫术的疗效及操作技巧。方法:回顾分析2011年5月至2012年7月为21例乳腺癌患者行腔镜腋窝淋巴结清扫术的临床资料。结果:20例顺利完成手术,1例因腋窝溶脂欠佳中转开放手术。手术时间60～184 min,平均(91±21)min;术中出血量15～50 ml,平均(35.2±13.1)ml。术中损伤肋间臂神经2例,发生皮下气肿2例。结论:乳腔镜腋窝淋巴结清扫术具有微创、并发症少、美观等优势,值得推广,但术者需具备一定的手术技巧。

Analysis of axillary lymph node dissection with mastoscopy in 21 cases

Objective:To evaluate the therapeutic effect and surgical technique of mastoscopic axillary lymph node dissection(MALND).Methods:The clinical data of 21 cases with breast cancer underwent MALND from May 2011 to Jul.2012 were retrospectively analyzed.Results:The operation in 20 cases were successed.One case was converted to open operation because of poor fat-melting.The operative time was from 60 min to 184 min,the average(91±21) min.Intraoperative blood loss was from 15 ml to 50 ml,the average(35.2±13.1) ml.There were 2 cases of intercostobrachial nerve injury and 2 cases of subcutaneous emphysema.Conclusions:MALND is worth promoting for broad clinical applications owing to its advantages of minimal invasion,low complication rate and invisible scar.However,surgical skills should be mastered in the study.