乳腔镜腋窝淋巴结清扫术21例临床分析  

Analysis of axillary lymph node dissection with mastoscopy in 21 cases

作　　者：方静[1] 马立[1] 陈曦[1] 

机构地区：[1]安庆市立医院,安徽安庆246003

出　　处：《腹腔镜外科杂志》2012年第10期739-741,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨乳腺癌腔镜腋窝淋巴结清扫术的疗效及操作技巧。方法:回顾分析2011年5月至2012年7月为21例乳腺癌患者行腔镜腋窝淋巴结清扫术的临床资料。结果:20例顺利完成手术,1例因腋窝溶脂欠佳中转开放手术。手术时间60～184 min,平均(91±21)min;术中出血量15～50 ml,平均(35.2±13.1)ml。术中损伤肋间臂神经2例,发生皮下气肿2例。结论:乳腔镜腋窝淋巴结清扫术具有微创、并发症少、美观等优势,值得推广,但术者需具备一定的手术技巧。Objective：To evaluate the therapeutic effect and surgical technique of mastoscopic axillary lymph node dissection（MALND）.Methods：The clinical data of 21 cases with breast cancer underwent MALND from May 2011 to Jul.2012 were retrospectively analyzed.Results：The operation in 20 cases were successed.One case was converted to open operation because of poor fat-melting.The operative time was from 60 min to 184 min,the average（91±21） min.Intraoperative blood loss was from 15 ml to 50 ml,the average（35.2±13.1） ml.There were 2 cases of intercostobrachial nerve injury and 2 cases of subcutaneous emphysema.Conclusions：MALND is worth promoting for broad clinical applications owing to its advantages of minimal invasion,low complication rate and invisible scar.However,surgical skills should be mastered in the study.

关 键 词：乳腺肿瘤 腋窝淋巴结清扫术 内窥镜检查 病例报告 

分 类 号：R737.9[医药卫生—肿瘤]