Title: The application of mastecoscope to dissect axillary lymph node in breast-conserving surgery
Abstract: Objective To explore the feasibility and efficacy of axillary lymph node dissection through mastoscope in breast conserving surgery. Methods 118 patients with breast cancer admitted in our hospital from March, 2002 to January, 2006 were divided into control and mastecopic group. 65 patients in control group were treated with entirely mastectomy and axillary lymph node dissection and 53 patients of mastocopic group were treated with breast-conserving surgery and mastecoscopic axillary lymph node dissection. Results All the operations were successful. The mean operative duration of mastecoscopic group and control group was 68±12min and 72±17min (P>0.05). The mean blood loss were 35.8±5.9ml and 300±58ml (P<0.05). The average number of lymph nodes removed were 19±3.5 and 18±3.0 (P>0.05) and the average number of days in hospital were 7.5±3.2 and 12.3±4.7 days (P<0.05). In mastecoscopic group there was 1 patient had subcutaneous hydrops and no skin necrosis, but 10 patients in the control group had cutaneous hydrops and 5 patients skin necrosis. Recurrence, metastasis and death was 0% (0/53), 3.7% (2/53) and 1.8% (1/53) in mastecoscopic group, and 1.5% (1/65), 3.0% (2/65) and 1.5% (1/65) in the control group (P>0.05). Conclusions It is safe and feasible to perform the mastoscopic axillary lymph node dissection in breast conserving surgery in the patient with early stage breast cancer.
Key words:
Mastoscopic; Breast neoplasm; Breast conserving; Axillary lymph node dissection
Publication Year: 2010
Publication Date: 2010-02-25
Language: en
Type: article
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Cited By Count: 1
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