乳腔镜在保留乳头乳晕复合体乳腺癌改良根治术中的应用

摘要

Objective:To probe the effect of mastoscopic in modified radical mastectomy operation for preserving nipple areolar complex in the treatment of breast cancer.Methods:Thiay patients,with breast cancer of a diameter≤3 cm and a distance≥3 cm from the mammary areola were treated by mastoscopic from November 2003 to August 2006.After the lipolysis and suction of axillary fat,mastoscopic axillary lymph node dissection was performed.Results:The average operation time was 128.9 min(120-156 min),che intraoperative blood loss was 56 mL(30-100 mL).The mean lymph nodes harvested by endoscopy were 16(6-34).Excellent cosmetic outcomes were obtained with symmetrical breast development and all the patients were satisfied with the treatment.Postoperative follow-up for 2-29 months(mean,16.6 months)found no local recurrence.Conclusion:This model of operation can protect the upper limb function and has value of aesthetics of the brisket.What's more,improve the quality of survive of the patients.