乳腔镜下乳腺癌腋淋巴结清除术35例分析  

Analysis of 35 cases of mastoscopic axillary lymph node dissection

作　　者：蒋国勤[1] 危少华[1] 孙亦辉[1] 龚巍[1] 陈伟[1] 邢春根[1] 吴浩荣[1] 

机构地区：[1]苏州大学附二医院普外科,江苏苏州215004

出　　处：《中华肿瘤防治杂志》2009年第24期1961-1962,共2页Chinese Journal of Cancer Prevention and Treatment

基　　金：苏州市科技局2006年度"社会发展及三药"项目资助(SSY0642)

摘　　要：为了探讨乳腔镜下乳腺癌腋窝淋巴结清除术的手术要点与临床疗效,回顾性分析乳腔镜下腋窝淋巴结清除术35例临床资料与操作要点。25例手术时间明显缩短,平均手术时间93min。术中清除腋淋巴结4～20枚,平均13.2枚;发现腋窝转移性淋巴结10例,共32枚。无1例中转手术,未出现明显的术中、术后并发症;随访发现,患侧上肢功能良好,无局部及trocar穿刺孔种植转移。回顾性分析结果显示,基于脂肪抽吸术的乳腔镜腋窝淋巴结清除术,临床操作可行,术后局部功能及外观保持较好,值得进一步探索。To investigate surgical key points of mastoscopic axillary lymph node dissection and its clinical efficacy.Using retrospective analysis to investigate clinical datas and operating key points for the 35 cases of breast mastoscopic axillary lymph node dissection.Operative time was significantly shorter in the latter 25 cases of whole group,and the mean operative time was 93 minutes. The number of axillary lymph nodes dissected during surgery was 4-20,averaged 13.2 min. Metastatic axillary lymph nodes was found in 10 cases,a total number of 32. No transit operations,no significant complications in and after operation. Follow-up showed good ipsilateral upper extremity function without local or trocar puncture hole cultivation.Based on Liposuction,the breast mastoscopic axillary lymph node dissection is clinically operative,with good postoperative local function and appearance,which is worthy for further exploration.

关 键 词：乳腺肿瘤/外科学 内窥镜检查 淋巴结切除术 

分 类 号：R737.9[医药卫生—肿瘤]