Exploration on application skills of non-lipolytic total endoscopic axillary lymph node and breast subcutaneous gland resection surgery
HUANG Yu
LUO Yunfeng
ZHU Yanwen
ZHU Di
LI Mengyun
Abstract：Objective To explore the application skills of non-lipolytic total endoscopic axillary lymph node and breast subcutaneous gland resection surgery.Methods The clinical data of 59 female patients with breast cancer who were admitted to Department of Thyroid Breast and Vessel Surgery,Southern Medical University Hospital of Integrated Traditional Chinese and Western Medicine and received non-lipolytic total endoscopic axillary lymph node and breast subcutaneous gland resection surgery from July 2022 to December 2023 were summarized.Among the 59 patients,11 patients underwent endoscopic axillary lymph node dissection due to sentinel lymph node positive.The obtained number of axillary lymph nodes,surgical time,nipple skin condition,upper limb sensory abnormalities,and motor dysfunction were evaluated.Results The non-lipolytic endoscopic sentinel lymph node biopsy and breast subcutaneous gland resection surgery were successfully completed in all the patients.Two to eight pieces of sentinel lymph nodes were obtained in each case,with an average of 4.2 pieces in each case and a total of 210 pieces in all the 59 cases.Endoscopic axillary lymph node dissection was performed in 11 cases.Two patients had slight papillae scab after surgery,which shed 1 month later,and no nipple damage was observed.Six patients had mild subcutaneous effusion,which improved after massage to drive away the effusion,and no paresthesia or motor dysfunction occurred on the affected upper limbs.The patients were followed up for 8 to 15 months and the average was 10.3 months without local recurrence and distant metastasis.Conclusion Non-lipolytic total endoscopic axillary lymph node and breast subcutaneous gland resection surgery is a smooth operation,simple and easy to learn,with fewer complications.It is a necessary operation for immediate breast reconstruction,and also provides one more option for personalized surgical treatment.
Keywords：Breast cancerEndoscopic surgeryAxillary lymph nodeSubcutaneous gland resectionRobotic surgery
Publication Date：2024-10-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 1103-1108 )