内镜辅助治疗乳腺癌16例临床分析  

Clinical analysis of endoscopic-assisted treatment for breast cancer:a report of 16 cases

作　　者：王琼[1] 

机构地区：[1]东莞市樟木头人民医院,广东东莞523633

出　　处：《腹腔镜外科杂志》2010年第5期341-343,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨内镜下腋窝淋巴结清扫并保留乳头、乳晕的皮下全乳腺腺体切除术治疗乳腺癌的可行性及其优势。方法:为16例Ⅰ、Ⅱ期乳腺癌患者行内镜腋窝淋巴结清扫术,同时行保留乳头、乳晕的皮下全乳腺腺体切除术。结果:16例均成功完成保留乳头、乳晕的皮下全乳腺腺体切除术;内镜下行腋窝淋巴结清扫术的每例患者取出淋巴结8～26枚,平均15.6枚,6例发现1～5枚转移淋巴结。术后患者常规综合治疗,随访1.2～4.1年,死亡1例,失访2例,出现乳腺癌远处转移3例,其他病例无局部复发、患肢水肿及严重感觉运动障碍等并发症发生。结论:借助内镜器械,通过腋窝处微小隐蔽切口即可完成腋窝淋巴结清扫术,同时可行保留乳头、乳晕的全乳腺腺体皮下切除术,以此术式代替常规乳腺癌根治术,在保证疗效的前提下,极大地减少了并发症的发生率,有良好的功能和美容效果。Objective：To investigate the feasibility and advantages of endoscopic axillary lymph node dissection and nipple-areolar sparing subcutaneous mastectomy for breast cancer.Methods：Sixteen patients with breast cancer stage I and II received endoscopic axillary lymph node dissection and nipple-areolar sparing subcutaneous mastectomy.Results：All the sixteen operations were successfully performed.The number of axillary lymph node dissected from each patient was 8-26（mean,15.6）.1-5 metastatic lymph nodes were found in 6 cases.After operation,the patients received conventional comprehensive treatment.The follow-up period was 1.2-4.1 years.One case died and two cases lost contact.Distant metastasis of breast cancer was found in 3 cases.Other cases recovered with no local recurrence,limb edema or serious sensorimotor disorder.Conclusions：Endoscopic axillary lymph node dissection and nipple-areolar sparing subcutaneous mastectomy can not only ensure the treatment results,reduce complications,but also keep good functional and aesthetic effects.

关 键 词：乳腺肿瘤 内窥镜检查 病例报告 

分 类 号：R737.9[医药卫生—肿瘤]