Immediate liposuction could shorten the time for endoscopic axillary lymphadenectomy in breast cancer patients
Identifieur interne : 008C74 ( Ncbi/Merge ); précédent : 008C73; suivant : 008C75Immediate liposuction could shorten the time for endoscopic axillary lymphadenectomy in breast cancer patients
Auteurs : Fujun Shi ; Zonghai Huang ; Jinlong Yu ; Pusheng Zhang ; Jianwen Deng ; Linhan Zou ; Cheng Zhang ; Yunfeng LuoSource :
- World Journal of Surgical Oncology [ 1477-7819 ] ; 2017.
Abstract
Endoscopic axillary lymphadenectomy (EALND) was introduced to clinical work to reduce side effects of conventional axillary lymphadenectomy, while the lipolysis and liposuction of EALND made the process consume more time. The aim of the study was to determine whether immediate liposuction after tumescent solution injection to the axilla could shorten the total time of EALND.
Fifty-nine patients were enrolled in the study, 30 of them received EALND with traditional liposuction method (TLM), and the rest 29 patients received EALND with immediate liposuction method (ILM). The operation time, cosmetic result, drainage amount, and hospitalization time of the two groups were compared.
The median EALND operation time of TLM group and ILM group were 68 and 46 min, respectively, the difference was significant (
Our work suggests immediate liposuction could shorten the endoscopic axillary lymphadenectomy process, and this method would not compromise the operation results. However, due to the limitations of the research, more work needs to be done to prove the availability and feasibility of immediate liposuction.
Url:
DOI: 10.1186/s12957-017-1106-7
PubMed: 28137289
PubMed Central: 5282818
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Immediate liposuction could shorten the time for endoscopic axillary lymphadenectomy in breast cancer patients</title>
<author><name sortKey="Shi, Fujun" sort="Shi, Fujun" uniqKey="Shi F" first="Fujun" last="Shi">Fujun Shi</name>
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<author><name sortKey="Huang, Zonghai" sort="Huang, Zonghai" uniqKey="Huang Z" first="Zonghai" last="Huang">Zonghai Huang</name>
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<author><name sortKey="Yu, Jinlong" sort="Yu, Jinlong" uniqKey="Yu J" first="Jinlong" last="Yu">Jinlong Yu</name>
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<author><name sortKey="Zhang, Pusheng" sort="Zhang, Pusheng" uniqKey="Zhang P" first="Pusheng" last="Zhang">Pusheng Zhang</name>
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<author><name sortKey="Deng, Jianwen" sort="Deng, Jianwen" uniqKey="Deng J" first="Jianwen" last="Deng">Jianwen Deng</name>
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<author><name sortKey="Zou, Linhan" sort="Zou, Linhan" uniqKey="Zou L" first="Linhan" last="Zou">Linhan Zou</name>
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<author><name sortKey="Zhang, Cheng" sort="Zhang, Cheng" uniqKey="Zhang C" first="Cheng" last="Zhang">Cheng Zhang</name>
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<author><name sortKey="Luo, Yunfeng" sort="Luo, Yunfeng" uniqKey="Luo Y" first="Yunfeng" last="Luo">Yunfeng Luo</name>
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<series><title level="j">World Journal of Surgical Oncology</title>
<idno type="eISSN">1477-7819</idno>
<imprint><date when="2017">2017</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Endoscopic axillary lymphadenectomy (EALND) was introduced to clinical work to reduce side effects of conventional axillary lymphadenectomy, while the lipolysis and liposuction of EALND made the process consume more time. The aim of the study was to determine whether immediate liposuction after tumescent solution injection to the axilla could shorten the total time of EALND.</p>
</sec>
<sec><title>Methods</title>
<p>Fifty-nine patients were enrolled in the study, 30 of them received EALND with traditional liposuction method (TLM), and the rest 29 patients received EALND with immediate liposuction method (ILM). The operation time, cosmetic result, drainage amount, and hospitalization time of the two groups were compared.</p>
</sec>
<sec><title>Results</title>
<p>The median EALND operation time of TLM group and ILM group were 68 and 46 min, respectively, the difference was significant (<italic>P</italic>
< 0.05); the median cosmetic results of the two groups were 6.6 and 6.4, respectively; the median drainage amount of the two groups were 366 and 385 ml, respectively; the hospitalization time of the two groups were 15 and 16 days, respectively. For the last three measures, no significant difference was confirmed (<italic>P</italic>
> 0.05).</p>
</sec>
<sec><title>Conclusions</title>
<p>Our work suggests immediate liposuction could shorten the endoscopic axillary lymphadenectomy process, and this method would not compromise the operation results. However, due to the limitations of the research, more work needs to be done to prove the availability and feasibility of immediate liposuction.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">World J Surg Oncol</journal-id>
<journal-id journal-id-type="iso-abbrev">World J Surg Oncol</journal-id>
<journal-title-group><journal-title>World Journal of Surgical Oncology</journal-title>
</journal-title-group>
<issn pub-type="epub">1477-7819</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
<publisher-loc>London</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">28137289</article-id>
<article-id pub-id-type="pmc">5282818</article-id>
<article-id pub-id-type="publisher-id">1106</article-id>
<article-id pub-id-type="doi">10.1186/s12957-017-1106-7</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>Immediate liposuction could shorten the time for endoscopic axillary lymphadenectomy in breast cancer patients</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Shi</surname>
<given-names>Fujun</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Huang</surname>
<given-names>Zonghai</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Yu</surname>
<given-names>Jinlong</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname>
<given-names>Pusheng</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Deng</surname>
<given-names>Jianwen</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zou</surname>
<given-names>Linhan</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname>
<given-names>Cheng</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0003-3575-9941</contrib-id>
<name><surname>Luo</surname>
<given-names>Yunfeng</given-names>
</name>
<address><phone>+86-20-6278-2401</phone>
<email>drluoyf@126.com</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1771 3058</institution-id>
<institution-id institution-id-type="GRID">grid.417404.2</institution-id>
<institution>Department of General Surgery,</institution>
<institution>Zhujiang Hospital of Southern Medical University,</institution>
</institution-wrap>
253, Gongye Dadao Zhong, Haizhu District, Guangzhou, China</aff>
</contrib-group>
<pub-date pub-type="epub"><day>31</day>
<month>1</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>31</day>
<month>1</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection"><year>2017</year>
</pub-date>
<volume>15</volume>
<elocation-id>35</elocation-id>
<history><date date-type="received"><day>12</day>
<month>11</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>24</day>
<month>1</month>
<year>2017</year>
</date>
</history>
<permissions><copyright-statement>© The Author(s). 2017</copyright-statement>
<license license-type="OpenAccess"><license-p><bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1"><sec><title>Background</title>
<p>Endoscopic axillary lymphadenectomy (EALND) was introduced to clinical work to reduce side effects of conventional axillary lymphadenectomy, while the lipolysis and liposuction of EALND made the process consume more time. The aim of the study was to determine whether immediate liposuction after tumescent solution injection to the axilla could shorten the total time of EALND.</p>
</sec>
<sec><title>Methods</title>
<p>Fifty-nine patients were enrolled in the study, 30 of them received EALND with traditional liposuction method (TLM), and the rest 29 patients received EALND with immediate liposuction method (ILM). The operation time, cosmetic result, drainage amount, and hospitalization time of the two groups were compared.</p>
</sec>
<sec><title>Results</title>
<p>The median EALND operation time of TLM group and ILM group were 68 and 46 min, respectively, the difference was significant (<italic>P</italic>
< 0.05); the median cosmetic results of the two groups were 6.6 and 6.4, respectively; the median drainage amount of the two groups were 366 and 385 ml, respectively; the hospitalization time of the two groups were 15 and 16 days, respectively. For the last three measures, no significant difference was confirmed (<italic>P</italic>
> 0.05).</p>
</sec>
<sec><title>Conclusions</title>
<p>Our work suggests immediate liposuction could shorten the endoscopic axillary lymphadenectomy process, and this method would not compromise the operation results. However, due to the limitations of the research, more work needs to be done to prove the availability and feasibility of immediate liposuction.</p>
</sec>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Liposuction</kwd>
<kwd>Endoscopic</kwd>
<kwd>Axillary lymphadenectomy breast cancer</kwd>
</kwd-group>
<funding-group><award-group><funding-source><institution>Science and technology project of Guangdong Province</institution>
</funding-source>
<award-id>2013B021800308</award-id>
<principal-award-recipient><name><surname>Luo</surname>
<given-names>Yunfeng</given-names>
</name>
</principal-award-recipient>
</award-group>
<award-group><funding-source><institution>Natural Science Foundation of Guangdong Province</institution>
</funding-source>
<award-id>2014A030313334</award-id>
<principal-award-recipient><name><surname>Shi</surname>
<given-names>Fujun</given-names>
</name>
</principal-award-recipient>
</award-group>
</funding-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2017</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations><list></list>
<tree><noCountry><name sortKey="Deng, Jianwen" sort="Deng, Jianwen" uniqKey="Deng J" first="Jianwen" last="Deng">Jianwen Deng</name>
<name sortKey="Huang, Zonghai" sort="Huang, Zonghai" uniqKey="Huang Z" first="Zonghai" last="Huang">Zonghai Huang</name>
<name sortKey="Luo, Yunfeng" sort="Luo, Yunfeng" uniqKey="Luo Y" first="Yunfeng" last="Luo">Yunfeng Luo</name>
<name sortKey="Shi, Fujun" sort="Shi, Fujun" uniqKey="Shi F" first="Fujun" last="Shi">Fujun Shi</name>
<name sortKey="Yu, Jinlong" sort="Yu, Jinlong" uniqKey="Yu J" first="Jinlong" last="Yu">Jinlong Yu</name>
<name sortKey="Zhang, Cheng" sort="Zhang, Cheng" uniqKey="Zhang C" first="Cheng" last="Zhang">Cheng Zhang</name>
<name sortKey="Zhang, Pusheng" sort="Zhang, Pusheng" uniqKey="Zhang P" first="Pusheng" last="Zhang">Pusheng Zhang</name>
<name sortKey="Zou, Linhan" sort="Zou, Linhan" uniqKey="Zou L" first="Linhan" last="Zou">Linhan Zou</name>
</noCountry>
</tree>
</affiliations>
</record>
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