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目的探讨乳腔镜在乳腺癌保留乳房腋窝淋巴结清扫术中的手术方法及可行性。方法2001年8月至2007年8月首都医科大学附属北京复兴医院普外科行保乳乳腔镜腋窝淋巴结清扫术治疗乳腺癌276例,同期行乳腺癌改良根治术142例,对比分析其治疗效果。结果276例经乳腔镜完成腋窝淋巴结清扫,手术时间由2h缩短至40min以内,术后发生并发症2例;改良根治术组142例发生术后并发症27例,手术时间55~160min。结论乳腺癌保留乳房手术使用乳腔镜进行腋窝淋巴结清扫术可以缩短手术时间、简化手术;在保证腋窝淋巴结清扫质量的同时降低了手术并发症发生率,达到了生理、心理的微创化,提高了病人的生活质量。乳腔镜腋窝淋巴结清扫术是可行的。
Objective To investigate the surgical method and feasibility of laparoscopy in breast cancer with axillary lymph node dissection. Methods A total of 276 cases of breast cancer were treated by breast-conserving laparoscopic axillary lymph node dissection in the Department of General Surgery, Beijing Fuxing Hospital, Capital Medical University from August 2001 to August 2007. A total of 142 cases of modified radical mastectomy were performed in the same period. . Results 276 cases underwent laparoscopic axillary lymph node dissection. The operation time was shortened from 2 hours to 40 minutes. There were 2 cases of postoperative complications. In the modified radical operation group, 142 cases had postoperative complications and the operation time was 55 to 160 minutes. Conclusions Breast conserving breast surgery using laparoscopy for axillary lymph node dissection can shorten the operation time and simplify the operation. While ensuring the quality of axillary lymph node dissection and reducing the incidence of surgical complications, it achieves physiological and psychological minimally invasive and improved The patient’s quality of life. Laparoscopic axillary lymph node dissection is feasible.