Skills of holding camera in endoscopic axillary surgery of mammary glands and the considerations
ZHU Yanwen
ZHANG Pusheng
HUANG Hongyan
LUO Yunfeng
Abstract：Objective To summarize and consider the coordination skills of the camera-holder assistant in endoscopic axillary sentinel lymph node biopsy and lymph node dissection,and to provide theoretical and technical support for the smooth implementation in endoscopic axillary sentinel lymph node biopsy and lymph node dissection.Methods The clinical data of 154 patients undergoing endoscopic axillary surgery in Department of Breast Surgery,General Surgery Center,Zhujiang Hospital of Southern Medical University from July 2022 to June 2023 were analyzed.Among the 154 patients,96 patients underwent endoscopic axillary sentinel lymph node biopsy and 58 patients underwent endoscopic axillary lymph node dissection.Before the surgery,clarity of the lens was adjusted to the best and fluorescent sentinel lymph node localization was performed by the camera-holder assistant.During the operation,sentinel lymph nodes and lymphatic vessels connected to the sentinel lymph nodes were clearly exposed,and the intercostal brachial nerve and axillary vein were kept at visual field level in the patients undergoing axillary lymph node dissection,and the lens were moved with the ultrasonic knife to avoid accidental injury.Results All the 154 patients were completed surgery under endoscope,and no patients were transferred to open surgery.The endoscopic operation time for axillary sentinel lymph node biopsy was 10-46(21.02±7.03)minutes,and the endoscopic operation time for axillary lymph node dissection was 30-85(59.90±14.23)minutes.No obvious bleeding was observed during the operation under endoscope.The lens of the endoscope were cleaned 3-12(5.21±2.52)times.Conclusion The successful process of endoscopic breast surgery requires the tacit cooperation between the surgeon and the camera-holder assistant,and an excellent camera-holder assistant not only needs to be familiar with the basic knowledge of anatomical structure of the mammary glands and axilla,and the surgical procedure,but also needs to master the collaboration skills of holding camera in order to assist the surgeon effectively and ensure the safety and high efficiency of the surgical process.
Keywords：Endoscopic breast surgeryAxillary surgeryCamera-holder assistantSentinel lymph node biopsyLymph node dissection
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：5( 1109-1113 )