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[Axillary lymph node dissection after breast reconstruction by pedicled Latissimus dorsi: Operative steps and outcomes].

Identifieur interne : 000D03 ( PubMed/Curation ); précédent : 000D02; suivant : 000D04

[Axillary lymph node dissection after breast reconstruction by pedicled Latissimus dorsi: Operative steps and outcomes].

Auteurs : N. Carrabin [France] ; M-A Dammacco [France] ; F. Beurrier [France] ; N. Chopin [France] ; S. Klingler [France] ; D. Ferraioli [France] ; C. Faure [France]

Source :

RBID : pubmed:26297161

Descripteurs français

English descriptors

Abstract

We retrospectively reviewed all the cases of axillary lymph node dissection (ALND) performed within a year after an immediate breast reconstruction procedure by a pedicled Latissimus dorsi, which is transferred to the anterior thoracic wall through an axillary funnel. Operative technical steps are described taking account of the new anatomical relationship of the axilla.

DOI: 10.1016/j.gyobfe.2015.07.004
PubMed: 26297161

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Links to Exploration step

pubmed:26297161

Le document en format XML

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<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymph Node Excision (methods)</term>
<term>Mammaplasty (methods)</term>
<term>Middle Aged</term>
<term>Postoperative Complications (epidemiology)</term>
<term>Retrospective Studies</term>
<term>Treatment Outcome</term>
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<term>Aisselle</term>
<term>Complications postopératoires (épidémiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie ()</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Mammoplastie ()</term>
<term>Résultat thérapeutique</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (anatomopathologie)</term>
<term>Études rétrospectives</term>
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<term>Axilla</term>
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<front>
<div type="abstract" xml:lang="en">We retrospectively reviewed all the cases of axillary lymph node dissection (ALND) performed within a year after an immediate breast reconstruction procedure by a pedicled Latissimus dorsi, which is transferred to the anterior thoracic wall through an axillary funnel. Operative technical steps are described taking account of the new anatomical relationship of the axilla.</div>
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<Month>11</Month>
<Day>20</Day>
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<Year>2016</Year>
<Month>12</Month>
<Day>13</Day>
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<Issue>11</Issue>
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<Year>2015</Year>
<Month>Nov</Month>
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<Title>Gynecologie, obstetrique & fertilite</Title>
<ISOAbbreviation>Gynecol Obstet Fertil</ISOAbbreviation>
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<ArticleTitle>[Axillary lymph node dissection after breast reconstruction by pedicled Latissimus dorsi: Operative steps and outcomes].</ArticleTitle>
<Pagination>
<MedlinePgn>718-21</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.gyobfe.2015.07.004</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S1297-9589(15)00195-2</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">We retrospectively reviewed all the cases of axillary lymph node dissection (ALND) performed within a year after an immediate breast reconstruction procedure by a pedicled Latissimus dorsi, which is transferred to the anterior thoracic wall through an axillary funnel. Operative technical steps are described taking account of the new anatomical relationship of the axilla.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We assessed postoperative immediate complications and late sequelaes.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">From 1999 to 2013, 21 ALND were performed. Immediate postoperative period was free of complication in 85% of cases when following the operative steps described in this work. Partial or total necrosis of the reconstructed breast did not occur. With a median follow-up of 64 months, 6 patients (28% of the whole population) presented at least one sequelae like a feeling of heavy arm (n=2, 9%) or a lymphedema (n=3, 14%), a chronic neuropathic pain (n=4, 19%) or a limitation in the arm range of motion (n=2, 9%).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">ALND after immediate breast reconstruction by a pedicled Latissimus dorsi is feasible and safe, without any additional postoperative complication in comparison with a classic ALND.</AbstractText>
<CopyrightInformation>Copyright © 2015 Elsevier Masson SAS. All rights reserved.</CopyrightInformation>
</Abstract>
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<Month>08</Month>
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<Keyword MajorTopicYN="N">Breast reconstruction</Keyword>
<Keyword MajorTopicYN="N">Curage axillaire</Keyword>
<Keyword MajorTopicYN="N">Pedicled Latissimus dorsi</Keyword>
<Keyword MajorTopicYN="N">Reconstruction par lambeau de grand dorsal</Keyword>
<Keyword MajorTopicYN="N">Surgical operative steps</Keyword>
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