乳腺癌乳腔镜腋窝淋巴结清扫术26例应用体会  

Application of Mastoscopic Axillary Lymph Node Dissection in Breast Cancer

作　　者：袁火忠[1] 李俊韬[1] 黄兴伟[1] 

机构地区：[1]赣州市人民医院普外二科,江西赣州341000

出　　处：《赣南医学院学报》2013年第2期233-234,共2页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:探讨乳腺癌乳腔镜腋窝淋巴结清扫术的临床应用。方法:回顾性分析2010年6月～2012年12月26例乳腺癌乳腔镜腋窝淋巴结清扫术的手术时间、手术出血量、清扫淋巴结数目和术后并发症发生率,并与30例同期行开放性腋窝淋巴结清扫术进行比较。结果:乳腔镜腋窝淋巴结清扫术均顺利完成,无中转开放手术。乳腔镜组手术时间(234.3±21.8)min显著长于开放组(135.6±12.4)min(P<0.05),出血量(40.5±6.3)mL少于开放组(70.2±8.9)mL(P<0.05),并发症率小于开放组(P<0.05),而两组清扫淋巴结数目无显著性差异(P>0.05)。结论:乳腔镜腋窝淋巴结清扫术安全可行,具有创伤小、并发症少的优点。Objective：To explore the application of mastoscopic axillary lymph node dissection （MALND） in breast canc- er. Methods：Retrospectively analyzed the clinical data of 26 patients with breast cancer,who underwent MALND from June 2010 to December 2012, and compared operation time, intraoperative blood loss, number of dissected axillary lymph node, postoperative complication with those of 30 patients who underwent conventional axillary lymph node dissection （CALND） during the same period. Results：All patients were operated successfully, no case in MALND group had been converted to CALND. The MALND group showed significantly longer operation time E （234.3 ± 21.8 ） min vs. （ 135.6 ± 12.4 ） min （ P 〈 0.05 ） ], but less intraoperative blood loss [ （ 40.5 ± 6.3 ） mL vs （ 70.2 ± 8.9 ） mL （ P 〈 0.05 ） ] and postoperative complication than the CALND group. No significant difference was noticed between the two groups in the dis- sected lymph nodes. Conclusion ： MALND technique is safe and feasible. It has advantages of mini invasion, few eomplications.

关 键 词：乳腺癌 乳腔镜 淋巴结清扫术 

分 类 号：R655.8[医药卫生—外科学] R616.5[医药卫生—临床医学]