METHOD OF MASTECTOMY WITH PRESERVATION OF GREATER PECTORAL MUSCLE

摘要

FIELD: medicine.;SUBSTANCE: method relates to medicine, namely to oncosurgery, and can be used for performing mastectomy in case of breast cancer. Mammary gland is brought down from greater pectoral muscle. Smaller pectoral muscle is cut off from places of fixation, axillary-subscapular lymphadenectomy is performed. After bringing down mammary gland from greater pectoral muscle, the latter is cut off from places of attachment to chest wall in region of VI-VII costal cartilages and from breast bone to I rib, mobilised muscle flap is moved away in cranial direction, and after cutting off smaller pectoral muscle with optimal parameters of surgical access full-fledged apical-subscapular lymphadenectomy is performed, after which greater pectoral muscle is returned back to its place and fixed by means of interrupted suture to chest wall.;EFFECT: ensuring possibility of performing sparing mastectomy with high degree of surgical radicalism.;4 dwg, 3 ex