乳腔镜腋窝淋巴结切除手术的解剖与技术(附291例次手术经验)  

The axillary anatomy and technique of mastoscopic axillary lymph node dissection.

作　　者：骆成玉[1] 周永桥[1] 林华[1] 杨齐[1] 张键[1] 丁毅[1] 薛镭[1] 张勇智[1] 潘邦杰[1] 李国华[1] 

机构地区：[1]首都医科大学附属北京复兴医院普外科暨乳腺疾病微创治疗中心,北京100038

出　　处：《中国实用外科杂志》2004年第11期685-687,i007,共4页Chinese Journal of Practical Surgery

摘　　要：目的　探讨乳腔镜腋窝淋巴结切除手术的解剖与技术。方法　自 2 0 0 1年始借助乳腔镜完成 2 91例次腋窝淋巴结切除术。结果　平均手术时间 4 7 2min ,术中出血很少 ,所有病例术中、术后均未出现任何手术并发症 ,平均每例取出淋巴结 17 4个。术后平均随访 14个月 ,随访期间无腋窝复发或trocar处种植转移。结论　乳腔镜腋窝淋巴结切除手术解剖清晰、安全易行。Objective To study the axillary anatomy and technique of mastoscopic axillary lymph node dissection. Methods Mastoscopic lymph node dissection were performed on 291 cases from 2001. Results The mean operation time was 47.2 minutes. The bleeding was little. The mean lymph nodes dissected were 17.4. There was no operation complication in all cases. No trocar implantation and tumor diffusion in axillary occurred in mean 14 months of follow-up time. Conclusion Mastoscopic axillary lymph node dissection is clear in operation anatomy, and it is safe and convenient.=

关 键 词：乳腔镜 腋窝淋巴结切除手术 解剖学 术后并发症 脂肪抽吸 

分 类 号：R659[医药卫生—外科学]