[1]韦伟,彭毅,易辛,等.不做脂肪溶解的腔镜腋窝淋巴结清扫术[J].中国微创外科杂志,2006,06(9):671-672.
　Wei Wei,Peng Yi,YiXin,et al.Endoscopic axillary lymph node dissection without liposuction[J].Chinese Journal of Minimally Invasive Surgery,2006,06(9):671-672.
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不做脂肪溶解的腔镜腋窝淋巴结清扫术()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年9期
页码:
671-672
栏目:
出版日期:
2006-09-20

文章信息/Info

Title:
Endoscopic axillary lymph node dissection without liposuction
作者:
韦伟; 彭毅; 易辛; 于志强; 何和平　
北京大学深圳医院乳腺外科,深圳,518036
Author(s):
Wei Wei;  Peng Yi;  YiXin;  et al.
Department of Mammary Surgery, Peking University Shenzhen Hospital, Shenzhen 518036, China
关键词:
乳腺癌; 腔镜; 淋巴结清扫; 气囊扩张
Keywords:
Breast cancer; 　Endoscopy; 　Lymphadenectomy; 　Balloon dilatation
分类号:
R737.9
文献标志码:
A
摘要:
目的 探讨采用气囊扩张方法形成手术操作空间,进行腔镜下腋窝淋巴结清扫术的可行性.方法 2005年6～10月,对7例乳腺癌应用术前乳晕或肿块周围亚甲蓝注射与腋窝置入气囊相结合的方法,形成腔镜操作空间,指引腔镜下腋窝淋巴结清扫.结果 每例清扫腋窝淋巴结9～17枚,平均12.3枚,未见到破碎淋巴结,4例检出阳性淋巴结.腋窝淋巴结清扫手术时间95～140 min,平均114.3 min.腋静脉等腋窝重要解剖结构显示清晰.无上肢水肿及其他腋窝手术区并发症.7例随访2～6个月,平均4.6月,未见复发.结论 采用气囊扩张方法形成的手术操作空间可以实施腔镜下腋窝淋巴结清扫术.
Abstract:
Objective　To discuss the feasibility of endoscopic axillary lymph node dissection by using balloon dilatation.　 M ethods　Seven patientswith breast cancer from June 2005 toOctober2005 were studied. Methylene blue injection around the areola or the tumor in combination with balloon placement in the axilla was performed to create surgical space for further endoscopic axillary lymph node dissection.　Results　The number of resected lymph nodes was 9~17 (mean, 12. 3). No crushed lymph node was found. Positive lymph nodeswere found in 4 patients. The operation timewas95~140min (mean, 114·3min). The axillary vein and other important anatomic structureswere clearly exposed. Therewas no edema of the upper limbs or other complications in the axillary area. No recurrencewas noted during a follow-up survey for2~6 months (mean, 4·6 months).　Conclusions　Endoscopic axillary lymph node dissection can be performed after the establishment of surgical space by using balloon dilatation.

参考文献/References:

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更新日期/Last Update: 2014-02-13