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A mini-invasive technique for axillary lymphadenectomy in early breast cancer: a study of 15 patients.

Identifieur interne : 00AA55 ( Main/Exploration ); précédent : 00AA54; suivant : 00AA56

A mini-invasive technique for axillary lymphadenectomy in early breast cancer: a study of 15 patients.

Auteurs : L. Cangiotti [Italie] ; R. Poiatti ; L. Taglietti ; P. Re ; B. Carrara

Source :

RBID : pubmed:10606172

Descripteurs français

English descriptors

Abstract

Axillary lymphadenectomy is the major cause of morbidity reported in breast surgery, but remains the gold standard in breast cancer staging procedures. The aim of this study was to evaluate if endoscopic lymphadenectomy, preceded by fat suction, could reduce morbidity and hospitalization, giving better aesthetic results, while conserving the same oncologic radicality as the traditional open technique. We studied 15 cases of breast cancer with tumour diameter < or = 25 mm, N0. The subjects underwent endoscopic lymphadenectomy. We removed an average of 15.5 node/patient, the volume of lymphorrea was 580 ml, the drainage was kept up for 5 days, the mean length of hospitalization was 6 days. One seroma (4.6%) was found. No shoulder restriction has been reported and aesthetic results were excellent. The follow-up will demonstrate if this technique can reduce the incidence of lymphoedema.

PubMed: 10606172


Affiliations:


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Le document en format XML

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<nlm:affiliation>Dept of Surgery, Clinica San Rocco di Franciacorta, Ome (Bs), Italy.</nlm:affiliation>
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<term>Adult</term>
<term>Aged</term>
<term>Axilla (surgery)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Carcinoma, Ductal, Breast (secondary)</term>
<term>Carcinoma, Ductal, Breast (surgery)</term>
<term>Carcinoma, Lobular (secondary)</term>
<term>Carcinoma, Lobular (surgery)</term>
<term>Drainage</term>
<term>Endoscopy</term>
<term>Esthetics</term>
<term>Female</term>
<term>Humans</term>
<term>Length of Stay</term>
<term>Lipectomy</term>
<term>Lymph Node Excision (methods)</term>
<term>Lymphatic Metastasis (diagnosis)</term>
<term>Lymphedema (prevention & control)</term>
<term>Mastectomy, Segmental</term>
<term>Middle Aged</term>
<term>Postoperative Complications (epidemiology)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aisselle ()</term>
<term>Carcinome canalaire du sein ()</term>
<term>Carcinome canalaire du sein (secondaire)</term>
<term>Carcinome lobulaire ()</term>
<term>Carcinome lobulaire (secondaire)</term>
<term>Complications postopératoires (épidémiologie)</term>
<term>Drainage</term>
<term>Durée du séjour</term>
<term>Endoscopie</term>
<term>Esthétique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lipectomie</term>
<term>Lymphadénectomie ()</term>
<term>Lymphoedème ()</term>
<term>Mastectomie partielle</term>
<term>Métastase lymphatique (diagnostic)</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein ()</term>
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<term>Lymphatic Metastasis</term>
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<term>Métastase lymphatique</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Postoperative Complications</term>
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<term>Carcinome canalaire du sein</term>
<term>Carcinome lobulaire</term>
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<term>Carcinoma, Ductal, Breast</term>
<term>Carcinoma, Lobular</term>
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<term>Axilla</term>
<term>Breast Neoplasms</term>
<term>Carcinoma, Ductal, Breast</term>
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<term>Aged</term>
<term>Drainage</term>
<term>Endoscopy</term>
<term>Esthetics</term>
<term>Female</term>
<term>Humans</term>
<term>Length of Stay</term>
<term>Lipectomy</term>
<term>Mastectomy, Segmental</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Carcinome canalaire du sein</term>
<term>Carcinome lobulaire</term>
<term>Drainage</term>
<term>Durée du séjour</term>
<term>Endoscopie</term>
<term>Esthétique</term>
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<term>Lipectomie</term>
<term>Lymphadénectomie</term>
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<front>
<div type="abstract" xml:lang="en">Axillary lymphadenectomy is the major cause of morbidity reported in breast surgery, but remains the gold standard in breast cancer staging procedures. The aim of this study was to evaluate if endoscopic lymphadenectomy, preceded by fat suction, could reduce morbidity and hospitalization, giving better aesthetic results, while conserving the same oncologic radicality as the traditional open technique. We studied 15 cases of breast cancer with tumour diameter < or = 25 mm, N0. The subjects underwent endoscopic lymphadenectomy. We removed an average of 15.5 node/patient, the volume of lymphorrea was 580 ml, the drainage was kept up for 5 days, the mean length of hospitalization was 6 days. One seroma (4.6%) was found. No shoulder restriction has been reported and aesthetic results were excellent. The follow-up will demonstrate if this technique can reduce the incidence of lymphoedema.</div>
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