乳腔镜腋窝淋巴结清扫术在基层医院的应用

目的探讨乳腔镜下乳腺癌腋窝淋巴结清扫术的可行性及临床意义。方法回顾性分析乳腔镜下腋窝淋巴结清扫术17例的临床资料及操作要点。结果17例手术均获成功，平均手术时问97min，术中清扫淋巴结5～14个，平均11个；发现腋窝淋巴结转移2例，无一例中转手术，未发生明显并发症；随诊病例，患侧上肢功能良好，无穿刺孔种植现象。结论脂肪抽吸后腋窝淋巴结清扫术在基层医院亦可开展，术后局部功能及外形效果良好，可作为常规手术方法之一。

The application of entirely mastoscopic axiliary lymph node dissection in grass-root hospitals

Objective To explore the feasibility and clinical efficacy of entirely mastoscopic axillary lymph node dissection for patients with breast cancer. Methods To analyze the clinical data and the procedure of the Breast cancer cases with entirely mastescopic axillary lymph node dissection. Results All the operations of those cases re-ceived entirely mastoseopic axillary lymph nodes dissection were successful, the average operating duration was 97min,and average of 5 ～ 14 lymph nodes were removed;2 cases had the positive lymph node. The procedure of those operations went well ,and there was no operation complication. After the operation the shoulder mobilization had unlim-ited, and no cancer cell was transplanted in operations holes. Conclusion Entirely mastoscopic axillary lymph node dissection can be carried out in grass-root hospitals and can be taken as one of the usual operation methods.