论文部分内容阅读
目的:探讨腔镜辅助下乳腺癌保留乳房手术治疗早期乳腺癌的可行性。方法:连续收集2005-05-2008-12于我科行腔镜辅助下乳腺癌保留乳房手术(腔镜组,82例)及乳腺癌改良根治术(对照组,65例)患者的临床资料,两组均配合直视下腋窝前哨淋巴结活检术(SLNB)或加做腋窝淋巴结清除术。患者术后定期门诊随诊,美容效果以调查问卷形式进行评估。结果:两组在临床分期、肿瘤所在象限、病理类型、前哨淋巴结(SLN)检出个数、SLN检出率、腋窝淋巴结检出个数、无复发生存率,以及总生存率方面差异无统计学意义。腔镜组较对照组的手术用时长,术中出血量少,术后引流总量少,术后引流时间短,腔镜组患者术后对胸部外观的满意度高。结论:腔镜辅助下乳腺癌保留乳房手术用于部分早期乳腺癌患者的美容效果好,而且肿瘤安全性指标与传统手术相当。
Objective: To investigate the feasibility of endoscopic breast-assisted breast cancer surgery for early breast cancer. Methods: The clinical data of patients with breast cancer undergoing breast surgery (endoscopic group, 82 cases) and modified radical mastectomy (control group, 65 cases) undergoing endoscopy assisted by our department from May 2005 to December 2008 were collected continuously. Two All patients underwent axillary sentinel lymph node biopsy (SLNB) under direct vision or axillary lymph node dissection. Regular follow-up of patients after surgery, the cosmetic effect of questionnaires to assess the form. Results: There was no statistical difference in clinical stage, tumor location, pathological type, number of sentinel lymph nodes (SLN), SLN detection rate, number of axillary lymph node detection, recurrence-free survival and overall survival Significance of learning. Compared with the control group, laparoscopic group had less operation time, less intraoperative blood loss, less postoperative drainage, shorter postoperative drainage time, and satisfied postoperative appearance of the thorax in the endoscopic group. Conclusion: Endoscopic assisted breast conserving breast surgery for some patients with early breast cancer cosmetic effect, and tumor safety indicators and the traditional surgery.